Free Bill of Costs - Affidavit/Supporting Documents - District Court of Arizona - Arizona


File Size: 112.6 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 91 Words, 555 Characters
Page Size: 610.56 x 792.96 pts
URL

https://www.findforms.com/pdf_files/azd/34690/39.pdf

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SOTO.KATHRVH

806

3818695

P.84

January

11,

2005

MARKEL AMERICAN INSURANCE COMPANY P.O. BOX 906 PEWAUKEE, WI 53072-0906 FILE NO.: 21156-001 - NSL

INVOICE.

6197

bESERT SHORES HOUSEBO~T INVESTIGATION ~ND POSSIBLE SUBROGATION CASE CLAIM NO.: 021231 DATE/LOSS: 8/12/2002

DATE

DISBURSEMENT DESCRI,PTION

AMOUNT

25.00 2$..00 <20.00> <20.00>

02-25-04

REFUND FOR U.S. .S.

DISTRICT COURT

---~ TOTAL DISBURSEMENTS
TOTAL DUE

--

f
$

807.71
807.71

Case 2:03-cv-01599-FJM

Document 39

Filed 11/10/2005

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