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WWW.www.hamersky.com .COM

Michael D Hamersky, Webmaster
PO Box 121334
San Diego, CA 92112

e-mail me at: hamersky@hotmail.com

cell phone/voice mail: 619-980-3457

Client Name: ___________________

Street Addr: ___________________

City,&State: ___________________

Zip code...: ___________________

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THIS BILLING DATE __/___/____ TOTAL OF HOURS THIS STATEMENT _____ TOTAL OF STATEMENT $________

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