~ln;l:-~,~ C.. r~~cr/3fq~^?.r~ ~ ~~ <~ fE^s,~ ,3~ q~ :.,~ .y,.,a l~ <br />fi.;: <br />.~1 <br />~ ~ ' ,^ <br />:.. y < <br />~~'f.` ''1 ~. <br /> <br /> <br />SERVICE'S FCI~~ ..-.. <br />NAIVIE~ CITY OF ElJEI~IE <br />GCB ADDRESS: 1 ~~~ PRINCE~'DIII ~R <br />PHQIE: <br />SELL TC: <br />IIIAI~E: ~I~E A ASE <br />~ILLIN A~~IES: ~8~~ RC~~VLT BLVC3 <br />CITY : EOCENE TRITE: CFA ZIP: ~~40~ <br />~1 7 ,'.~ ` U ti w'!2 i ~t cy~ r ~ snrt ~ %~ 1' S~J1 <br />~~~~r ~ ~~~ a ~CI~ISTI . .a ~~.~ ~ ,f~ ~~~ ~w ,: ~~, ~§~ ~~' :: ~ ~n~1-~z ,, ~a ~~ <br />~~TE <br />ERI~ICE CERI~TI~N <br />~r~'A ~~ <br />} a~ <br />i~~ µ, ~' N~~~~x <br />is <br />M :.- <br />:: ~. <br />::~i <br />~ v~y a !1 <br />~, ~ ~ ~r~f `~~~ 44 ~~ ~ fi <br />START DATE <br />07!0&109 <br />COMP DATE <br />Q7Ia6109 <br />REP: GEORGE <br />,~,,~ ~cu,~ <br />~'"W~i_U~'`~ <br />70TAL <br /> <br />LY3 {' <br />~.... a ~ ~ } ~ !. <br />~~~~ Late fee uv~~~ ~e ~ar~ed ~n cc~~nt~ <br />4vtter 34 days ~aet ~~e <br />y L <br />~y. <br />Thank You For Your Patronage <br />SIB TOTAL ~ 1~.Q~ <br />TOTAL AMT $114.00 ''. <br />/Zy/~~~ <br />z~~~ i~~~ <br />~~ ~ R~~~ <br />