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Kleshinski, Morrison & Morris, LLP Check here if paying by credit card

590 Lexington Avenue Mansfield, OH Type of credit card________________


44907 (419) 756-3211 Card no. __________________________
Last 3-digit # on back of card _______
Exp. date ______________________________
Signature ______________________________
Invoice date November 13, 2009
Invoice total $ 114.05

Theodore J. Togliatti & Co., Inc. 812 Park Ave Amount enclosed $
East Mansfield, OH 44905

Payment due upon receipt.


Finance charges will apply after 30 days.
Major credit cards accepted.
Please remit top portion with payment.

PAYROLL CHECK WRITING & RELATED SERVICES For: October 31, 2009
Payroll check Writing - Bi weekly
Preparation of monthly returns

OTHER SERVICES

Preparation of payroll tax returns for the third quarter ended 2009.

2 Pay Period at $30.00 Other $ 60.00


services (taxable) 0.00
60.00
Sales tax Other services 4.05
64.05
50.00
$ 114.05

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