STATEMENT Re: ___________ Rent Billing for Suite Number __________ [month] Rent: Previous Balance $_________ This Month $_________ $__________ Storage: Previous Balance $_________ This Month $_________ $__________ Miscellaneous Charges: $__________ Over Standard Work: $__________ Previous Balance $__________ This Month $__________ $__________ TOTAL NOW DUE $__________ PLEASE MAKE CHECK PAYABLE TO_____________________________