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DocuSign Envelope ID:C9BAE9E6-EFFC-4771-A9A9-6FE4A5992FC0 <br /> Customer Receipt No.1031923-100307-202554 Tuesday- 11/19/2019- 10:42:19 AM <br /> ORANGE COUNTY DEPT AMS HILLSBOROUGH SELF STORAGE ANNEX <br /> ALAN DORMAN (ELIZABETH BRADY RD.), 1031923 <br /> 300 W TRYON STREET 346A ELIZABETH BRADY RD. <br /> H[LLSBOROUGH;NC 27278 HILLSBOROUGH,NC 27278 <br /> (919)619-8859 (919)644-6776 <br /> -------------------------------------------------------------------------------------------------------------------------------------------- <br /> ROOM DESCRIPIION THRU PAID AMOUNT <br /> K68 (1)-1OX20X8 INTERIOR CLIMATE 12/19/2019 IN $185.00 <br /> Sub Total: $185.00 <br /> Tax $0.00 <br /> Charge Total: $185.00 <br /> ************6966 Visa Card $185.00 <br /> 067993 <br /> Payment Total: $185.00 <br /> Change Due: $0.00 <br /> Account Balance: $0.00 <br /> X X <br /> Customer's Signature Employee's Signature(ELIZABETH WELLS-MAID <br />