1515 NW 122 St North Miami, FL 33167

Approval Date: 01/31/2018

Address: 1515 NW 122 St North Miami, FL 33167

Approved Work: WO# 201991 Casualty

Balance: 1,200.00 (Note: if balance in single digits, job may be complete)

Rausa# 0903979 (for internal use only)