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<br />f <br /> <br />Policv Number <br />3400726 <br /> <br />Invoice Number <br />5300448 <br /> <br />INVOICE INFORMATION <br /> <br />Policv Period <br />02/01/1999 - 02/01/2000 <br /> <br />Audit Type: <br />Audit Date : <br />Auditor Name: <br /> <br />100 Mail-ln Audit <br />04/2612000 <br />CONTRERAS, HEATHER <br /> <br />Coverage Information <br /> <br />4001 HIGh~AY92 <br /> <br />WATER ENHANCEMENT AUTHOIDTY <br /> <br />Location: 1 <br /> <br />P.O.BOX 120 <br />CRAWFORD, CO 81415-0120 <br /> <br />Period: 02/01/1999 - 02/01/2000 <br /> <br />Class RT Descriotion <br /> <br />881105 BD NON-SALARIED BD <br />835025 EM GAS DEALERS L.P <br />835005 CL GASOLINE/OIL DE <br /> <br />Total Payroll : <br /> <br />Premium Information <br /> <br />Descriution <br />Ratable Manual Premium <br />Annual Policy Fee <br />Minimum Premium <br />Net Estimated Annual Premium <br />Billed Premium <br /> <br />Audit Adjustment <br /> <br />Emo <br /> <br />Prev Pavroil <br /> <br />2.00 <br />0.00 <br />0.00 <br /> <br />$62,400 <br />$850 <br />$0 <br /> <br />$32,518 <br /> <br />Period Prev. Adi. <br />02/0111999.02/0112000- <br />02/0111999 .02/0112000 <br />02/0111999 - 02/0112000 <br />02/0111999 - 02/0112000 <br />02/01/1999.02/0112000 <br /> <br />02/01/1999 - 02/0112000 <br /> <br />Bill Tvoe <br />Audit Premium Adjustment <br />Transaction 10: 007717222 <br /> <br />~ ~ Prem charee <br /> <br />$31,200 0.05 <br />if any. 6.49 <br />$1,318 6.49 <br /> <br />$16 <br />$0 <br />$86 <br />$102 <br /> <br />Manual Premium : <br /> <br />Ad;ustment Prev. Amt. <br />$86 <br />$140 <br />$141 <br />$367 <br /> <br />Amount <br />$102 <br />$140 <br />$125 <br />$367 <br />$367 <br /> <br />$0 <br />