Invoice Template

SkyeTec Mitigation Services Invoice Inspector Name: Inspector Address: Inspector Badge ID: SRID 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Invoice #: Invoice Date: Date Inspected Inspection Type * Mitigation Fee Inspection Inspection Amount Compensation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total $0.00 Owner Last Name or Property Name Please put the SRID list in numerical order prior to sending. Thank you. v3 082008 Mail to: SkyeTec 9570 Regency Square Blvd. suite 410, Jacksonville, FL 32225 SkyeTec Mitigation Services Invoice * Some Inspection Types will display as $0. Please input the correct Inspeciton Amount in column G. v3 082008 Mail to: SkyeTec 9570 Regency Square Blvd. suite 410, Jacksonville, FL 32225 Mitigation Division Pricing Service MSFH Inspection Mitigation Fee Inspection Mitigation Re-Inspection Commercial Mitigation Insp. Full QA Inspection Partial QA Inspection 4-Point Inspection Customer Fee 150 150 (+/-) 75 TBD 0 0 150 Inspector Compensation 85 50% 50 50% 50 40 50%

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