Statement




                        STATEMENT                          5


Re:  ___________ Rent    Billing for Suite Number __________
      [month]

 Rent:
    Previous Balance                $_________
    This Month                      $_________
                                                 $__________
Storage:
    Previous Balance                $_________
    This Month                      $_________
                                                 $__________

Miscellaneous Charges:                           $__________

Over Standard Work:                              $__________
    Previous Balance               $__________
    This Month                     $__________
                                                 $__________

                              TOTAL NOW DUE      $__________

   PLEASE MAKE CHECK PAYABLE TO_____________________________



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