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ific) (),0 K1JBRAI Daxs k,�.o -cam <br /> What You Paid <br /> saccesm Yo r have.;paid for all the iteems..listed below.Your-fortns have been filed with;the corresponding.City/Cities shown., <br /> Thank you for using FileLocali The total payment.will appear as multiple transactions paid to the approp:iate Cities.and FileLocal on <br /> your bank or credit card statement.The Amount Due for each form will be deposited to the,appropriate Cltyi,and the nota- <br /> refundable User'Fee(s)will be.deposited to FileLoeal.The Cion-refundable KUBRA service tee for processing the transaction has <br /> been Added es hewn below and wlll be retained by the payment processor,1 lJBRA., <br /> An email cor firrriatien will be sent tizi you by FiieLocol.yeti may print this screen AS your receipt,if desired, when finiskr ;click <br /> 'Return to Filelocali. you will be able to view and;print each form from the FlleLocal website, ifneeded. <br /> POtTri FilingPeriod Amount-Due Payment Conf. <br /> Nathe <br /> Everett FiileLpcal User Fee($4.:00 peri City paid) <br /> • Everett C8L Application"Appiled Ftp'" ion 2011:9 $83.G:O 800134 <br /> KUBRA-Everett Convenienp+e Fe'e Cion-refuridabl:e $Z.49. 800134 <br /> FlieLocal <br /> FileLocal User Fee($4,00 per City Paid). non-refundable $440 800134 <br /> Amount Du48949 <br /> . <br /> Note:The Payment Confirmation Number indicates;that your payment was successfully authorized. Note that you may have more <br /> than one Payinent.Confirmetien Number Der City if'that,City separates fLlnos into different receiving accounts. <br /> How You Paid <br /> ICIlSRA:S+arvi+ce Fee: X2.49non-refundable <br /> Payment Amount: .$89A9' <br /> Card Numbers; Visa *** "*** 2340 <br /> Cardholder Narne: Keith G Lynn <br /> Expiration Date: 0620 <br /> Billing Zip Code: 98390 <br /> } <br /> hitps,:tJ/ecur .`i doxs.net/FJL LOCALIOneTlnteAdd aspx ill <br />