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1 /18/23, 10:13 AM <br />KUBRA i-Doxs VBS <br />Confirmation & Receipt <br />What You Paid <br />Success! You have paid for all the items listed below. Your forms have been filed with the corresponding City/Cities shown. <br />Thank you for using FileLocal! The total payment will appear as multiple transactions paid to the appropriate Cities and FileLocal on <br />your bank or credit card statement. The Amount Due for each form will be deposited to the appropriate City, and the non- <br />refundable User Fee(s) will be deposited to FileLocal. The non-refundable KUBRA service fee for processing the transaction has <br />been added as shown below and will be retained by the payment processor, KUBRA. <br />An email confirmation will be sent to you by FileLocal. You may print this screen as your receipt, if desired. When finished, click <br />[Return to FileLocal]. You will be able to view and print each form from the FileLocal website, if needed. <br />Form Name <br />Everett FileLocal User Fee ($4.00 per City Paid) <br />Everett GBL Application "Applied For" <br />KUBRA-Everett Service Fee <br />FileLocal <br />FileLocal User Fee ($4.00 per City Paid) <br />Filing Period <br />Amount Due <br />Payment Conf. # <br />Jan 2023 <br />$99.00 <br />051313 <br />non-refundable <br />$2.47 <br />061313 <br />non-refundable <br />$4.00 <br />041313 <br />https://secure8.i-doxs.net/FILELOCAL/OneTimeAdd.aspx 1 /2 <br />