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CHARGE SLIP

To: Mr./Ms. _________________

Unit No.: ____________________

Building Name:_______________

Property Name:_______________

Application for Renovation works Ref No. :________ Completion date___________

Please be advised that as per above renovation application, the following violation tickets and its
associated penalty or penalty due to delay are broken down as follows:

Reference Violation Ticket Equivalent Penalty

TOTAL

The said amount shall be charged to your

[ ] upcoming Statement of Account ( if no posted construction bond)

[ ] Posted Construction bond

For your reference and information.

______________________

Property Manager
(Sign over printed name)

Acknowledged by: _______________________ Date:______________________

Unit Owner

PM-FM-009 Charge Slip

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