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. ~~ `~'" " ' <br />~~~- ~~~ <br />, <br />Billing Date: 12/30/98 <br />To: Ms. Valerie Saiki <br />Marion County Ris <br />Marion ~ ~Dthouse <br />10 ~#ig~S,~ ;~.~ Sth Floor <br />~`C~em, ~ 9,7,3~tTl <br />. ~~ .. . /v <br />CA~ita~ CQacmS SQhVECe.. gn~. <br />POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />Phone:(503)399-8366•Fax:(503)399-8366 <br />Service Billing <br />Our File Number: D81048F <br />Insured: Marion County <br />Claimant: Sacks, Michael <br />Claim #: <br />Date of Loss: 8/12/98 <br />IRS#: 93-0842926 <br />. <br />~„s <br />~ ~~~ <br />: ~+.ir~ ~ <br />4~P~ GPN <br />S <br />/. ~~~~ <br />pG~. QP~N`~ _ <br />'Q~# SZU ~~~ers Hours 2.3 C 35.00 $ 80.50 <br />/ - ----------------------------------------- •---------------------------------------------- ------------- <br />~ <br />~ Mileage <br />-•-----•-----•----------- 0.0 @ 0.00 $ <br />----------------------------------------------- 0.00 <br />------------- <br />n~~ <br />y~~ ------------------- <br />Photo 0 C 0.00 $ 0_00 <br />f~ <br />~ {~ Adjusters Expense $ 0.04 <br /> Total Loss / Salvage $ 4.00 <br /> Evaluation / Condition <br />------ <br />------------------------------------------------ <br />------------- <br /> ------------------------------------- <br />Photo Copy <br />------------- $ <br />------------------------------------------------ 0.00 <br />------------- <br /> ------------------------------ <br />Phone <br />- $ <br />------------------------------------------- 1.20 <br />------------- <br /> ------------------------------------------ <br />File Set-up Charge <br />---------- ----- <br />$ <br />----------------------------------------------- 8.50 <br />-------------- <br /> --------------------------------- <br />Postage $ 1.65 <br /> -- ---------------- --- <br />Office Expense <br />$ <br />15.00 <br />Total $ 106.85 <br />~~ ," a ~ " r 1 ~~J <br />~ ~ <br />~~ <br />;/ <br />