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<br />ACCOUNTS 'RECEIVABLE <br /> <br />CON T R ACT 005.16844-0 P R I NT 0 U T <br /> <br />~ <br />" ~V RUN 03i15/'31 <br /> <br />_______ NAME I ADDRESS _______ ---------- CONTRACT ---------- ---- DEFERRED INCOME ---- --- SERVICE. CHARGE --- --- OTHER --- <br /> <br />TOWNMED <br />TOWNVIEW MEDICAL ARTS CENTER <br /> <br />CONTRACT VALUE <br />BALANCE <br />TERM 1 <br />NET PAYMENT <br />SALES TYPE <br />. TAX '/. <br />GROSS PAYMENT <br />DEPOSIT <br /> <br />2006 S. HWY 301 <br />DADE CITY, FL 33525 <br /> <br />JIM BINGHAM 813 788 2759 <br /> <br />---- SIGN NAME I ADDRESS ----- <br /> <br />10487. 00 RATE . 00 <br />. 00 AMOUNT. 00 <br />RE~AMORTIZED .00 <br />~ MARKET VALUE .00 <br /> <br />6.000 ------- SALESMAN -------- <br />10487.00 <br />. 00 GRAHAM <br /> <br />MONTHLY RATE <br />CHARGED <br />COLLECTED <br /> <br />1.5 U.S. TAX FLOOOO <br />.00 TAX': 6.00 <br />.00 PRIST <br />DIV <br />TERR 00 <br />SALES TY~'E 1 <br />2 EOM '/. . 00 <br />A <br />7 <br />.00 <br />.00 <br /> <br />---- SERVICE DATA ---- <br /> <br />SERVICE CODE <br />SERVICE AREA <br />SERVICE DAYS <br />FREE WOP.K <br />COST TO DATE <br /> <br />------ SIGN DESCRIPTION ------ --------- DATE ---------- <br />ACCEPTED INSTALLED START <br /> <br />TOWNVIEW MEDICAL ARTS CENTER <br />7244 GIll. BLVD. <br />ZEPHYRHILLS, FL <br /> <br />FAB/INST (1) D/F ILLIJI1INATED <br />PYLON - 6CS DRW 191-M-339 09/15/91 <br /> <br />SPLIT ENDS <br /> <br />INTEREST ARREARS CURRENT 30 DAYS <br />.00 .00 .00 .00 <br />o <br /> <br />------------------ MEMOS ------------------- <br /> <br />NO DATE DESCRIPTION <br />07 09/15/91 CONTRACT ON FILE <br /> <br /> <br />DEPOS IT <br />.00 <br /> <br />60 DAYS <br />.00 <br />o <br /> <br />'30 DAYS <br />.00 <br />o <br /> <br />SKETCH 09373 <br /> <br />SALES TAX <br />.00 <br /> <br />9999 <br /> <br />________________________________ BILLING HISTORY -------------------------------------- OPENING <br /> <br />DATE BILLING TAX INT OTHER AttlOUNT CODE REF TOT DUE <br /> <br /> <br />~~ \ "S <br />G'f~~~ <br />'---'~~ S <br /> <br />HARD COPY ENDED <br /> <br />L~ <br /> <br />o~ <br /> <br />~4~s <br /> <br />~~~ <br />~ <br />()~dS'~ ~~ <br />\~ <br /> <br />~+ <br /> <br />co{~~d <br /> <br />~ _ f\ <br />S \'\ ~~ <br /> <br />)0~~ <br /> <br />C-+ <br /> <br />~s <br />C 0"( -\ ~ <::-4 <br /> <br />~L- <br /> <br />@ <br />