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OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIAL MANAGEMENT PLAN FEE <br /> 1993 - 1995 AUDIT <br /> BILLING CORRECTION RECORD <br /> Name of Business F/.f/o.,✓ C14Z.,16 <br /> Primary Contact a- I-even- Account No. 1-371 <br /> Facility Mailing Address /o5o F/.�lio�n. D e o FEpy 9 �p j? <br /> 1993 HMMP FEE <br /> Amount Invoiced DO <br /> Base Fee/Chemical CountLilzl W-°�A <br /> Type of Error: [ ] Data Entry M Review [ ] Other <br /> Corrected Base Fee/Chemical Count <br /> Corrected Amount Owed 7,;: <br /> 1994 HMMP FEE <br /> Amount Invoiced 00 <br /> Base Fee/Chemical Count-Az y0. °-91/S <br /> Type of Error: N Data Entry jog Review [ ] Other <br /> Corrected Base Fee/Chemical Count ya °y/$, <br /> Corrected Amount Owed x-375 ©o <br /> 1995 HMMP FEE <br /> Amount Invoiced <br /> Base Fee/Chemical Count <br /> Type of Error: [ ] Data Entry [ ] Review [ ] Other <br /> Corrected Base Fee/Chemical Count <br /> Corrected Amount Owed <br /> TOTAL DUE: [>C] REFUND [ ] OWED7S F'o <br />