' YORK CrEC CCEC INY 2/04:00a 10022 Total Fees from Applicable Fees Page FEE a Travelers TOTAL US Government Fee' 170. X G3 Service Fee X CLS Fe 00 Xi Return Delivery Fee Subtotal Add 5% tor credit card convenience lee 00 $545 00 Total Payment Enclosed s57 —iins_ EFTA00304526 III /