ount #: Reference: Invoice # nitialor's Nanw ,s. l-.,: %,..nti. I initiator's Signature kultinigeta Nam: & Est Sump Autbonaers Sip atuiv :tcht/Calkr Name. l oewt-4 t.Aktr. nt Telephone 1.(l- Sn —419 tact Nam JAN YOUNG I c.0 .idck Signature * li..ck DatetTime al LI it 11 ,OO1)"... CMS

0.2004 UNIT 5 Unit Taxes, Fees and Assessments Your Rate Plans Federal-Excise Tax 3.000% 1.62 Rats Plan • Federal-TRS Charge 0.073% 0 . OS Calkr ID. No Chair • Federal•Univ Sew Assessment 1.087% 0.70 nananal Shared Vakte 500 State-Comm Service Tax 9.170% 5.77 County-Comm Service Tax 6