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OFFICE <br />Attach insurance ve~fi:auon to fi'us pa~: <br /> <br />Deposit: <br /> <br />USE <br /> <br />()NLY <br /> <br />ADDrrlONAL FEES <br /> <br />Ciw Labor <br />Ci~., Equipment <br />~ $3.00 <br />Drag $1.50 <br />Bases $10.130 <br />Lime $5.0(I p/bae <br /> <br />Tofleu $50.00 <br /> <br />AMOUN~ <br /> <br />To~: <br /> <br />Date Billed: <br />Date Paid: <br /> <br /> <br />