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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