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City of.Cem Lake <br />City of Gem Lake - General .Câť‘unsel <br />Page: 3 <br />05/31/2009 <br />Account No: 10857-100000M <br />Statement No: 28778 <br />Expenses <br />05/3112009. Photocopy charges 36:00 <br />Total Expenses 36-00 <br />Total Current Work 7,906 00 <br />Payments <br />05/26/2009. Payment. Received. Thank You. -4,420 00 <br />Balance Due $7,908.00 <br />Please charge my account $ <br />Visa Master Card . Discover <br />Account No (16 digits) - <br />Expiration. Date (MM!YY) - <br />Signature - <br />Date - <br />Please make checks payable to Kelly & Lemmons <br />Payments received. after 0513112009 are notincfuded <br />KELLY & LEMMONS, P.A. thanks you as a valued client. <br />