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Text File  |  1991-01-10  |  897b  |  28 lines

  1.  
  2.                         STATEMENT                          5
  3.  
  4.  
  5. Re:  ___________ Rent    Billing for Suite Number __________
  6.       [month]
  7.  
  8.  Rent:
  9.     Previous Balance                $_________
  10.     This Month                      $_________
  11.                                                  $__________
  12. Storage:
  13.     Previous Balance                $_________
  14.     This Month                      $_________
  15.                                                  $__________
  16.  
  17. Miscellaneous Charges:                           $__________
  18.  
  19. Over Standard Work:                              $__________
  20.     Previous Balance               $__________
  21.     This Month                     $__________
  22.                                                  $__________
  23.  
  24.                               TOTAL NOW DUE      $__________
  25.  
  26.    PLEASE MAKE CHECK PAYABLE TO_____________________________
  27.  
  28.