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~ <br />~ <br />~ <br />`\~Y <br />~ <br />Billing Date: 12/30/98 <br />~~ <br />: -~ <br />. ~4# c,~ <br />/ A~ <br />~ /~ ~ <br />v r ~~ <br />!~-f ~~ ~ <br />~'`'~~ ~ --[~~i ! <br />~ - <br />Our File Number: D81140F <br />Insured: Marion County <br />Claimant: Fugate, Eazle & Eleanor <br />Claim #: <br />Date of Loss: 8/25/98 <br />IRS#: 93-084292b <br />Adjusters Hours <br />---------------------------•-------------- 1.0 @ 35.00 $ <br />------------------------------------------------ 35.00 <br />------------- <br />Mileage ---------------------- - ---------- 0_0 @ 0.00 $ 0.00 <br />Photo <br />- 0 @ 0.00 $ <br />-•--------------------------•---------- <br />----- 0.00 <br />------------- <br />-----•----------•------------------------ <br />Adjusters Expense <br />---------------------•-------------------- ---- <br />$ <br />---------------------------•-------------------- 0.00 <br />------------- <br />Totaf Loss / Salvage $ 0.00 <br />Evaluation / Condition <br />Photo Copy $ 0.00 <br />Phone $ <br />------------------------•--------- <br />------- 1 •2a <br />------------- <br />------------------------------------------ <br />File Set-up Charge <br />----------------------- ---- <br />--- <br />$ <br />------------------------------------------------ 8.50 <br />------------- <br />------------------- <br />~~a9e $ 0_70 <br />----------------------------- -----------------------------------------•------ --- <br />Office Expense $ 5.00 <br />C~ttaQ CQQimS sehViCe. gnC. <br />POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />Phone: (503)399-8366 • Fax: (503)399-8366 <br />$@~'VlC6 B1~~IT1g <br />~ <br />~~ <br />" "~ <br />V <br />Total $ 50.40 <br />