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00/17/98 '*L~IU 13:51 FAX I 503 588 ?948 <br /> <br />Mailing ~ <br />Cir/: State: Zip: <br /> <br /> MAroON COOl~/mJll~I~G <br /> 3150 Lan~ 150 L~a~T Dr, l~- Sui~ C <br /> <br />8~0 am- 4'.30 pm 24 hr. ~ Lhe 373-4427 FAX $88-79q~ <br /> <br />& R~ ~r U~ ~ I~1~ <br /> 1~ ~(~) Sum <br /> ~SL~ x Sll0,~ 4 <br /> <br />x $ ~2.00 = S 2 <br /> <br />S. Servtce~ or Fcedcru (Does ~ot iaclade <br /> <br />~1~ x S65.~ = $ 2 <br />201 ~ x $8o~ - S 2 <br />~1 ~m~ <br />~l~m I~ x S170,~ = S,, 2 <br />~1~ ~IU z $390.~ = S 2 <br />~y ~ ~. S 55.~ S 2 <br /> <br /> ~bBrC~ ~ x S 3.~-$ <br /> <br /> ~Si~d~Li~ x $~5.~ = S 2 <br /> <br /> ~~ ~ ~ S55_~= S 2 <br /> P, ~ A~de~ ~ ever ~ <br /> I. a~ of~e ~e, ~r hs~fiou x S 50,~'= S <br /> <br /> ~10 ~-~ ~S10,~ ~ ,, x $1~.~ $ <br /> 0~ Family D~Uing ~g: ~- F~ <br /> <br />I~ellin~ pcn~t Labels (For S~a~Ia FamRy Dw~Biup Only) NIC <br /> <br />OT~ER~ u req~l~d I~/thc Baild~ng Oflkld <br /> <br />TOTAL <br /> <br />5, FEES <br />Al. Ea~r Total Fe~ from Section #4 <br />A2 ~ Srat~ $un:hatg~ (.05% xA1) <br /> <br /> s ~-o. <br /> <br />SUBTOTAL: S <br /> <br />S <br />$ <br />$~ <br /> <br /> $ <br />TOTAL ~OLINT D~?~''50 <br /> <br />MC 15-34 Rev 9/98 <br /> <br /> <br />