Form 133.2 - Public Information Charges - Billing Detail Form
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1Form
133.2
Texas State Securities Board
Public Information Charges - Billing Detail
Description of Information
Date
Agency/Company
Method of Payment:
Address
Cash
Check
Telephone No.
Other
Number
Total
Standard-size Paper Copies
@$0.10/page
$
Nonstandard-size Copies
-CD
@$1.00/ea.
$
-Diskette
@$1.00/ea.
$
-Magnetic Tape
(actual cost)
$
$
-Audio Cassette
@$1.00/ea.
-Paper
@$0.50/ea.
$
-Other
(actual cost)
$
Personnel Charges:
-Programming
@$28.50/hr.
$
-Other
@$15.00/hr.
$
Overhead Charges:
(20% of Total Personnel Charges)
x 20%
$
Computer Resource Charges:
-PC or LAN
@$1.00/hr.
$
-Mainframe
@$10.00/min.
$
Postage/Shipping Charges
(actual cost)
$
Other Charges:
(Description:____________________________)
$
TOTAL CHARGES:
$
A-4
07-14-2005
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Parent category: Legal