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~1" ~ <br />~~ ~ <br />ir~',~ ~ - <br />~ l.J" <br />A. <br />Billing Date: 1/4/99 <br />Capttap CQa~ms Se~vice. ,9nc. <br />POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />Phone:(503)399-8366•Fax:(503)399-8366 <br />Service Billing ~p~ ~n~ <br />Budget# -'----- <br />Object# <br />Roject# - <br />Oate RiP~_p~e RTF <br />To: Ms. Valerie Saiki <br />Marion County Risk <br />Marion County Courthouse <br />100 High Street N.E. - 5th Floor <br />Salem, OR 97301 <br />Our File'PJ~b~c: <br />Insured: <br />Claimant: <br />Claim #: <br />Date of Loss: <br />IRS#: <br />Marion County <br />Gardner-Andrea, Ara <br />12/ 1 /96 <br />93-0842926 <br />Adjusters Hours <br />----------------------------------------- 2.4 @ 35.00 $ <br />-------- 84.00 <br /> <br />Milsage <br />---------•----•--------------------------- ---------------------------------------- <br />0.0 @ 0.00 $ <br />----------------------- ------------- <br />0.00 <br /> <br />Photo <br />--------------------------------- ------------------------- <br />0 @ 0.00 $ -----•------- <br />0.00 <br />--------- <br />Adjusters Expense <br />---------------------------- ------------------------------------------------ <br />$ ------------- <br />0.00 <br />-------------- <br />Total.Loss / Salvage ------------------------------------------- <br />$ -~---------- <br />0.00 <br />Evaluation / Condition <br />------- <br />----------------------- <br />-- <br />- <br />--- <br />----- <br />------------ <br />Photo Copy <br />- - <br />-------------------------------- <br />-- <br />-- <br />$ ------------- <br />0.00 <br />----------- <br />------------------------------ <br />Phone ------------------------------------------------ <br />$ ------------- <br />1.20 <br />----------------------------------•------- <br />File Set-up Charge <br />-------- <br />- ------------------------__._...----•------------ <br />$ <br />- <br />- <br />- ------------- <br />8.50 <br />-- <br />--•------------------------••-- <br />Postage -------------------------- <br />- <br />- <br />----------------- <br />$ ------------- <br />1.68 <br />--- <br />-- <br />------------------•--•-------------------- <br />Office Expense .._..-•--•--•-----------------------------•----- <br />$ -•----- <br />- <br />15.00 <br />Total $ 110.38 <br />/b ~ ~ ~ ~ ~-°~~-- <br />~ r/ <br />~ <br />