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COMPUTER M RE G Cs t O <br /> DBA GG hen <br /> PREMISE ADDRESS: I C'"1 l D w\l t e 2 <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: <br /> DATE AMOUNT PAID SURCHARGE FEE MISC. / DESCRIPTION <br /> 1-moo $ 150. °y $ $ / l - 1aQA-L clk� <br /> G 1 u-g5 $ SZp.00 E „-�� $ / <br /> - � S 3 /a -ti. 0 <br /> 1 - lIo-� 1 <br /> TANK INFORMATION: <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M_ STATE IDM / STATUS <br /> TANK M STATE IDM / STATUS <br /> TANK M STATE ID# / STATUS _ <br /> FAP ii iTV P('f)iATr nnnn morn <br /> ��� l% <br />