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INVOICE INFORMATION <br /> rPodic Number Invoice Number j Policv Period Bill Tvne _ — <br /> 3333660 4558329 07/01/1998 -07/01/1999 Advance Premium Renewal Charge <br /> an Trsaction ID; 006633747 <br /> I <br /> This is your renewal billing. If the estimated annual payrolls are not accurate, please contact us. Effective Dec 1,1997, the payroll base used for Corporate Officers, Members, Individuals, and Partners has changed. Please see invoice <br /> detail. Credit balances will not be applied to renewal charges unless you notify us. <br /> I <br /> Coverage Information <br /> Location : 1 Roaring Fork Vegetation Management Co. <br /> 90 Arlian Rd <br /> I Carbondale, CO 81623 <br /> Period : 07/01/19n8 07/01/1949 <br /> I <br /> Class RT Description Emn Payroll Rate Prem charge <br /> 910205 EM PARKS N.O.C. 2.00 $6,000 5.43 $326 <br /> I <br /> Total Payroll : $6,000 <br /> Manual Premium : $326 <br /> Premium Information <br /> Deecrrotian <br /> Period Adjustment Amount <br /> Ratable Manual Premium 07/01/1998-07/01/1999 <br /> Annual Policy Fee 07/01/1998-07/01/1999 $326 <br /> Net Estimated Annual Premium 07/01/1998-07/01/19" $140 <br /> $466 <br /> i <br /> I <br /> 1 � <br /> R <br /> I <br /> I <br /> 1 <br />