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<html><head><title>Vending Facility Monthly Report for Facility 105 and Person 495</title></head>
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}</style><table width="100%"><tbody><tr><td style="TEXT-ALIGN: center; FONT-SIZE: 16pt; FONT-WEIGHT: bold" class="lfBodyLine"><span id="lf8snap" class="lfFieldrefSnapshot lfFieldrefCustom " style="FONT-SIZE: 16pt; FONT-WEIGHT: bold" >Vending Facility Monthly Report</span> </td></tr></tbody></table><br /><br /><table width="100%"><tbody><tr><td class="lfBodyLine">Report Date: </td><td class="lfBodyLine" colspan="2"><span id="lf9snap" class="lfTextFieldSnapshot lfTextFieldCustom " >05/20/2013</span></td><td class="lfBodyLine">Submitted?</td><td class="lfBodyLine" colspan="2"><span id="lf11snap" class="lfTristateCheckboxSnapshot lfCheckboxCustom" title="Should this monthly report be submitted ?">Y</span></td></tr><tr><td class="lfBodyLine">Facility: </td><td class="lfBodyLine" colspan="5"><span id="lf14snap" class="lfTextFieldSnapshot lfTextFieldCustom lfNumberAlign " >105</span> <span id="lf15snap" class="lfTextFieldSnapshot lfTextFieldCustom " >State Capital Bldg</span></td></tr><tr><td class="lfBodyLine">Operator: </td><td class="lfBodyLine" colspan="5"><span id="lf19snap" class="lfTextFieldSnapshot lfTextFieldCustom lfNumberAlign " >495</span> <span id="lf20snap" class="lfTextFieldSnapshot lfTextFieldCustom " >(TEMP) BSBP BEP</span></td></tr><tr><td class="lfBodyLine"><br /></td></tr><tr><td class="lfBodyLine" width="20%">Receive Date: </td><td class="lfBodyLine" width="18%"><span id="lf21snap" class="lfTextFieldSnapshot lfTextFieldCustom" >06/14/2013</span></td><td class="lfBodyLine" width="22%">Data Entry Date: </td><td class="lfBodyLine" width="18%"><span id="lf22snap" class="lfTextFieldSnapshot lfTextFieldCustom" >06/14/2013</span></td><td class="lfBodyLine" width="7%">Hours: </td><td class="lfBodyLine"><span id="lf24snap" class="lfTextFieldSnapshot lfTextFieldCustom" >160</span></td></tr></tbody></table><br /><br /><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf59snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Total Sales</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"> </td><td style="TEXT-DECORATION: underline" class="lfBodyLine" colspan="2"><span id="lf99snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Vending</span> </td></tr><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Sales: </td><td class="lfBodyLine" align="right"><span id="lf101snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="4%"> </td><td class="lfBodyLine" width="66%">Beginning Inventory: </td><td class="lfBodyLine"><span id="lf103snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Purchases: <br /></td><td class="lfBodyLine"><span id="lf107snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span><br /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Ending Inventory: </td><td class="lfBodyLine"><span id="lf113snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Cost of Goods Sold: </td><td class="lfBodyLine" align="right"><span id="lf115snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Gross Profit: </td><td class="lfBodyLine" align="right"><span id="lf117snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Other Income: </td><td class="lfBodyLine" align="right"><span id="lf120snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Total Gross Income: </td><td class="lfBodyLine" align="right"><span id="lf122snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"><hr size="1" width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"> </td><td style="TEXT-DECORATION: underline" class="lfBodyLine" colspan="2"><span id="lf158snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Counter</span> </td></tr><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Sales: </td><td class="lfBodyLine" align="right"><span id="lf160snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$1,067.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="4%"> </td><td class="lfBodyLine" width="66%">Beginning Inventory: </td><td class="lfBodyLine"><span id="lf162snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$818.00</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Purchases: <br /></td><td class="lfBodyLine"><span id="lf166snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$836.00</span><br /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Ending Inventory: </td><td class="lfBodyLine"><span id="lf172snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$2,335.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Cost of Goods Sold: </td><td class="lfBodyLine" align="right"><span id="lf174snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">($681.00)</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Gross Profit: </td><td class="lfBodyLine" align="right"><span id="lf176snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$1,748.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Other Income: </td><td class="lfBodyLine" align="right"><span id="lf179snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Total Gross Income: </td><td class="lfBodyLine" align="right"><span id="lf181snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$1,748.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"><hr size="1" width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"> </td><td style="TEXT-DECORATION: underline" class="lfBodyLine" colspan="2"><span id="lf217snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Highway</span> </td></tr><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Sales: </td><td class="lfBodyLine" align="right"><span id="lf219snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="4%"> </td><td class="lfBodyLine" width="66%">Beginning Inventory: </td><td class="lfBodyLine"><span id="lf221snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Purchases: <br /></td><td class="lfBodyLine"><span id="lf225snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span><br /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Ending Inventory: </td><td class="lfBodyLine"><span id="lf231snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Cost of Goods Sold: </td><td class="lfBodyLine" align="right"><span id="lf233snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Gross Profit: </td><td class="lfBodyLine" align="right"><span id="lf235snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">Other Income: </td><td class="lfBodyLine" align="right"><span id="lf238snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Total Gross Income: </td><td class="lfBodyLine" align="right"><span id="lf240snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; "></span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"><hr size="1" width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine"> </td><td style="TEXT-DECORATION: underline" class="lfBodyLine" colspan="2"><span id="lf278snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Total Facility</span> </td></tr><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* Sales: </td><td class="lfBodyLine" align="right"><span id="lf280snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$1,067.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="4%"> </td><td class="lfBodyLine" width="66%">* Beginning Inventory: </td><td class="lfBodyLine"><span id="lf282snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$818.00</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">* Purchases: <br /></td><td class="lfBodyLine"><span id="lf286snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$836.00</span><br /></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">* Ending Inventory: </td><td class="lfBodyLine"><span id="lf292snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$2,335.00</span></td></tr><tr><td class="lfBodyLine" colspan="2"> </td><td class="lfBodyLine" align="right"><hr width="50%" noshade="true" /></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* Cost of Goods Sold: </td><td class="lfBodyLine" align="right"><span id="lf294snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">($681.00)</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">* Gross Profit: </td><td class="lfBodyLine" align="right"><span id="lf296snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$1,748.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* Other Income: </td><td class="lfBodyLine" align="right"><span id="lf299snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$0.00</span></td></tr><tr><td class="lfBodyLine"> </td><td class="lfBodyLine">Total Gross Income: </td><td class="lfBodyLine" align="right"><span id="lf301snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; ">$1,748.00</span></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td class="lfBodyLine" colspan="2"><hr noshade="true" /></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf331snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Supplies</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf368snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Supplies</span>: </td><td class="lfBodyLine" align="right"><span id="lf370snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf405snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Detailed Employee Costs</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf444snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(A) Number of Blind Employees</span>: </td><td class="lfBodyLine" align="right"><span id="lf445snap" class="lfTextFieldSnapshot lfTextFieldCustom" >0</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf481snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Number of Handicapped Employees</span>: </td><td class="lfBodyLine" align="right"><span id="lf482snap" class="lfTextFieldSnapshot lfTextFieldCustom" >0</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf518snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Number of Other Employees</span>: </td><td class="lfBodyLine" align="right"><span id="lf519snap" class="lfTextFieldSnapshot lfTextFieldCustom" >3</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf553snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(B) Employee Wages</span>: </td><td class="lfBodyLine" align="right"><span id="lf555snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf591snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(C) Social Security</span>: </td><td class="lfBodyLine" align="right"><span id="lf593snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf629snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(D) Medicare</span>: </td><td class="lfBodyLine" align="right"><span id="lf631snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf667snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(E) Workers Comp.</span>: </td><td class="lfBodyLine" align="right"><span id="lf669snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf705snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(F) Futa</span>: </td><td class="lfBodyLine" align="right"><span id="lf707snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf743snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(G) Suta</span>: </td><td class="lfBodyLine" align="right"><span id="lf745snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf781snap" class="lfFieldrefSnapshot lfFieldrefCustom " >(H) Other</span>: </td><td class="lfBodyLine" align="right"><span id="lf783snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf820snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Total Employee Related Expenses</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf822snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$0.00</span></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf856snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Detailed Taxes and Fees</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf893snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Sales Tax</span>: </td><td class="lfBodyLine" align="right"><span id="lf895snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$28.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf931snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Michigan Business Tax</span>: </td><td class="lfBodyLine" align="right"><span id="lf933snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf969snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Other Taxes</span>: </td><td class="lfBodyLine" align="right"><span id="lf971snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf1008snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Taxes and Fees</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf1010snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$28.00</span></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf1044snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Other Expenses</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf1081snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Other Expenses</span>: </td><td class="lfBodyLine" align="right"><span id="lf1083snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td style="FONT-WEIGHT: bold; TEXT-DECORATION: underline" class="lfBodyLine"><span id="lf1118snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Liability Insurance</span> </td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1159snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Carry own Liability</span>: </td><td class="lfBodyLine" align="right"><span id="lf1160snap" class="lfTristateCheckboxSnapshot lfCheckboxCustom" title="Carry own Liability">N</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1193snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Liability Insurance</span>: </td><td class="lfBodyLine" align="right"><span id="lf1195snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$1.00</span></td></tr></tbody></table><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf1232snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Total Expenses</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf1234snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$29.00</span></td></tr></tbody></table><br /><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf1270snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Net Proceeds</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf1272snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$1,719.00</span></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%">* <span id="lf1308snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Set Aside Fee</span>: </td><td class="lfBodyLine" align="right"><span id="lf1310snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$172.00</span></td></tr></tbody></table><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf1348snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Net Income</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf1350snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$1,547.00</span></td></tr></tbody></table><br /><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1385snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Other Payments</span>: </td><td class="lfBodyLine" align="right"><span id="lf1387snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1423snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Penalty Payments</span>: </td><td class="lfBodyLine" align="right"><span id="lf1425snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1461snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Health Insurance Paid</span>: </td><td class="lfBodyLine" align="right"><span id="lf1463snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1500snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Health Insurance Deduction</span>: </td><td class="lfBodyLine" align="right"><span id="lf1502snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1538snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Personal Healthcare 2%</span>: </td><td class="lfBodyLine" align="right"><span id="lf1540snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1576snap" class="lfFieldrefSnapshot lfFieldrefCustom " >401k 3%</span>: </td><td class="lfBodyLine" align="right"><span id="lf1578snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td class="lfBodyLine" width="68%"><span id="lf1614snap" class="lfFieldrefSnapshot lfFieldrefCustom " >DB Retirement Fund 4%</span>: </td><td class="lfBodyLine" align="right"><span id="lf1616snap" class="lfTextFieldSnapshot lfTextFieldCustom" style="TEXT-ALIGN: right; ">$0.00</span></td></tr></tbody></table><table style="BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid" width="100%"><tbody><tr><td class="lfBodyLine" width="2%"> </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" width="68%"><span id="lf1653snap" class="lfFieldrefSnapshot lfFieldrefCustom " >Operator Payment Due</span>: </td><td style="FONT-WEIGHT: bold" class="lfBodyLine" align="right"><span id="lf1655snap" class="lfTextFieldSnapshot lfTextFieldCustom " style="TEXT-ALIGN: right; FONT-WEIGHT: bold">$173.00</span></td></tr></tbody></table><br /><br /><table width="100%"><tbody><tr><td class="lfBodyLine">Comments: <div id="lf1664snap" class="lfMemoFieldSnapshot lfMemoFieldCustom" title="Commments">This report is for a Bureau operated facility and pays no SAF. All proceeds go to the SAF fund.</div></td></tr></tbody></table><br /><br /><br /><br /></div></body></html>