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~ <br />2'~`,~ P~,"~ <br />P`~"~ <br />~ <br />Billing Date: 12/30/98 <br />. j <br />CQ~ifQ~ CQQiInS SehUiCe. gnC. <br />POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />Phone: {503)399-8366 • Fax: (503}399-8366 <br />Service Billing <br />To: Ms. Valerie Saiki <br />Marion County Risk <br />Mazion Co~y ~Ghouse <br />100 Higlp~tr . .,• Sth Floor <br />o~; oR 3~-' <br />.~Q"~ GP~N~~ ~ ~' P Ay ti~~ <br />~~ S QO Q <br />/ <br />`i~~ ~ .~"~7 <br />~ ~ <br />Our File Number: D80435F <br />Insured: Marion County <br />Claimant: Sosa, Pam <br />Claim #: <br />Date of Loss: 4/22/98 <br />IRS#: 93-084292b <br />-'~ dju rs Hours 2.6 @ 35.00 $ 91.00 <br />~ ---------------------------------------------------------------------- <br />~QO S~ ---~ ----------------•-------- <br />~ ileage 0.0 @ 0.00 $ 0.00 <br /> <br />• <br />~ Photo 0 @ 0.00 $ 0.00 <br />~ <br />,~` <br />~+ 'v ~~ ------------------------------------------- <br />Adjusters Expense --------------------------- -•----------------- <br />$ ------------- <br />0.00 <br /> ----------------------------------------- <br />Total Loss / Salvage ------------------------------------------------ <br />$ ------------- <br />0.00 <br /> Evaluation / Condition <br />- <br />----------------- <br />---- <br />------------- <br />------------- <br /> ------------------------------------------ <br />Photo Copy <br />------------------------------------------- ----------- <br />--- <br />$ <br />------------------------------------------------ 0.00 <br />------------- <br /> Phone <br />- <br />---- $ <br />------------------------------------------- 1.80 <br />------------- <br /> -- <br />----------------------------------- <br />- <br />File Set-up Charge <br />------------------------------------------- ----- <br />$ <br />-------•---------------------------------------- 8.50 <br />------------- <br /> Postage $ 1.82 <br /> Office Expense $ 15.00 <br />Tota1 $ I18.12 <br />~V~ ~`~ ~ ~~ <br />~ <br />~ n~,;~ <br />v ~ <br />