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Financial- Capital Claims Service
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Financial- Capital Claims Service
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Last modified
9/19/2012 3:20:28 PM
Creation date
8/19/2011 10:01:12 AM
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Building
RecordID
10142
Title
Financial- Capital Claims Service
Company
Marion County
BLDG Date
1/1/1999
Building
Courthouse Square
BLDG Document Type
Finance
Project ID
CS9601 Courthouse Square Research
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~ CA~tfa~ CQaimS sehUtCe. gnC. <br />~;/~ POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />~ ~~ ~, hone: (503)399-8366 • Fax: (503)399-8366 <br />1 <br />$el'VIC@ B1~~1 ~R# Scanned <br />8udget# <br />Object# <br />Billing Date: 1/3/99 proj~ <br />To: Ms. Valerie Saiki <br />Marion County Risk <br />Marion County Courthouse <br />100 High Street N.E. - Sth Floor <br />Salem, OR 97301 <br />Our Fil,@~~g ~ <br />Claimant: <br />Claim #: <br />Date of Loss: <br />IRS#: <br />Data <br />F <br />Trent, Brenton <br />1/11/9'7 <br />93-0842926 <br />Adjustars Hours <br />--------- <br />--•--------- <br />----------- 2.8 G~ 35.00 $ <br />--- <br />- <br />---------- <br />----- 98.00 <br />----- <br />------ <br />Mileage ---- <br />- <br />------- <br />----------------- <br />0.0 @ 0.00 $ ------------- <br />0.00 <br />------------------------------------------- <br />Photo ------------------------•----------------------- <br />0 @ 0.00 $ ------------- <br />0.00 <br />------------------------------------------- <br />Adjusters Expense <br />---- <br />-- ------------------------------------------------ <br />$ <br />-- <br />--- <br />-- ------------- <br />0.00 <br />------- <br />------------------------------ <br />Total Loss / Salvage ----------------- <br />-------------------- <br />---- <br />$ ------------- <br />0.00 <br />Evaluation / Condition <br />----- <br />------- <br />--------------------------------- <br />-- <br />---------- <br />---------- -- <br />-------------- <br />------- <br />--------- <br />Photo Copy - <br />-- <br />$ 0.00 <br />----------------------------------------- <br />Phone ------------------------------------------------ <br />$ <br />------------ <br />------- <br />------------ ------------- <br />1.20 <br />------------- <br />------------------------------------------- <br />File Set-up Charge <br />------------------------------------------- ------- <br />---------- <br />$ <br />------------------------------------------------ 8.50 <br />------------- <br />Postage <br />------------------•------------------------ $ <br />------------------------------------------------ 1.96 <br />------------- <br />Office Expense $ 15.00 <br />Tota) $ 124.66 <br />! (.J - ( ~ ~ `-~ ~- -6 <br />r n ~~ <br />1 {~ <br />
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