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COMPUTER # E uTP l <br /> DBA 1 (° <br /> �-\ 1 h S L9 <br /> PREMISE ADDRESS: <br /> 3 C) 10 <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: <br /> —_DATE <br /> ------.AMOUNT PAID <br /> r SURCHARGE FES MISC, <br /> - / DESCRIPTION <br /> -- $ / <br /> TANK INFORMATION: <br /> TANK �_ STATE IDd_ <br /> TANK q / STATUS <br /> STATE ID# / ---- <br /> TANK q STATUS <br /> ._.__ <br /> STATE IDN / �— <br /> TANK N STATUS <br /> STATE IDq_ `--- ------- <br /> TANK # / STATUS _ <br /> .�. STATE IDq / ------ <br /> TANK b STATUS <br /> STATE IDS / ------- <br /> TANK N STATUS__ <br /> STATE IDp ------ <br /> TANK <br /> —TANK # / STATUS <br /> m STATE IDq_ / --'— ------- <br /> TANK STATUS <br /> —� STATE IDp_ / <br /> TANK # STATUS <br /> STATE IDB / �' — ---- <br /> • STATUS FAPn rv� � <br />