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~ <br />~~ ~ <br />~~ <br />p ~~ <br />~ <br />Billing Date: 1/2/99 <br />p~# Scannecy <br />Service Billing sua9et~ ----_._. <br />Object# <br />~ <br />Date RTP Date RTF <br />Appro~~ers fnitials /.~~ ""-- <br />To: Ms. Vaierie Saiki <br />Marion County Risk <br />Marion County Courthouse <br />100 High Street N.E. - Sth Floor <br />Salem, OR 97301 <br />Our File Number: <br />Insured: <br />Claimant: <br />Claim #: <br />Date of Loss: <br />I RS#: <br />Marion County <br />Fuller, Ira <br />6/ 12/97 <br />93-0842926 <br />Adjusters Hours <br />----------------------------------------- b.b @ 35.00 $ <br />-------------- 231.04 <br /> <br />Mileage <br />--------------------------------------- --------------------------•------- <br />51.0 @ Q.30 $ <br />---------- <br />----- --------•----- <br />15.30 <br />-- <br />Photo <br />----------------------------------------- - <br />-------------------------------- <br />5 G~ 1.50 $ <br />---------- ----------------- -------------- <br />7.50 <br /> <br />Adjusters Expense <br />----------------------------------------- -------------------- <br />$ <br />----- <br />----------------- -------------- <br />0.00 <br /> <br />Total Loss / Salvage --- <br />----------------------- <br />$ -------------- <br />0.00 <br />Evaluation / Condition <br />------------ <br />----------------- <br />--- <br />- <br />- <br />------------ <br />- <br />- <br />- <br />- <br />---- <br />- <br />Photo Copy <br />--------------------------------------- -------------- <br />-- <br />------------------ <br />$ <br />------------------------------- <br />- <br />---- <br />-- -------------- <br />0.00 <br />----- <br /> <br />Phone <br />----------------------------------------- - <br />-------- <br />- <br />$ <br />-•---------------- <br />--------------- --------- <br />3.90 <br />- <br />- <br /> <br />File Set-up Charge ------- <br />------- <br />- <br />$ <br />-- <br />- ---- <br />-- <br />------ <br />8.50 <br />----------------------------------------- <br />Postage ----------- <br />------------------~ <br />--------------- <br />$ -------------- <br />4.62 <br />----------------------------------------- <br />Office Expense ------------------------------------------------ <br />$ -------------- <br />30.00 <br />Total $ 300.82 <br />~v -1 ~ `"( `~( ~~ ~ ' \ <br />~ ~ <br />CapttaQ C~aims Se~vice. ~9nc. <br />POST OFFICE BOX 265 • SALEM, OREGON 97308 <br />Phone:(503)399-8366•Fax:(503)399-8366 <br />