TO SERVE YOUR CLIENTS Subtotal $762.00 Svc Chg/PUC (9.0%) $54.00 Total $816.00 Payments/Credits -$816.00 Balance Due $0.00 A Division of MDM Tollford, Inc. E.I.N./T.I.N. 94-3231667 EFTA00613628

Y TO SERVE YOUR CLIENTS Subtotal $762.00 Svc Chg/PUC (9.0%) $54.00 Total $816.00 Payments/Credits -$816.00 Balance Due $0.00 A Division of MDM Tollford, Inc. E.I.N./T.I.N. 94-3231667 EFTA_R1_01967512 EFTA02676293