Monthly Statement Of Account-Summary Form - Alberta printable pdf download

Monthly Statement Of Account-Summary Form - Alberta

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MONTHLY STATEMENT OF ACCOUNT - SUMMARY

CORPORATE ACCOUNTING AND REPORTING SYSTEM

COMPANY NAME

CLIENT ID

STATEMENT NUMBER

COMPANY ADDRESS

ENXXXX

STATEMENT DATE

REPORTING PERIOD

ENERGY

FOR FURTHER INFORMATION CONTACT:

OIL SANDS ROYALTY OPERATIONS

PHONE: (780) 643-9333

EMAIL: OSREPORT@GOV.AB.CA

OUR REGISTRANT NUMBER IS RXXXXXX

INTEREST WILL BE ASSESSED ON THE OVERDUE BALANCE

ACTIVITY

ROYALTIES

INTEREST

PENALTIES

PAYMENTS

TRANSFERS

ROYALTY

ADJUSTMENTS

REFUNDS

CURRENT

BALANCE

CREDITS

BALANCE

SUB TOTAL FOR ACTIVITY TYPE xxx:

TOTAL:

TOTAL AMOUNT DUE:

INTEREST WILL ACCRUE ON ALL OUTSTANDING CHARGES THAT ARE PAST DUE SINCE YOUR LAST PAYMENT, AND WILL CONTINUE TO ACCRUE UNTIL PAYMENT IS RECEIVED.

PLEASE CONTACT OIL SANDS ROYALTY OPERATIONS TO DETERMINE ANY ADDITIONAL INTEREST OWING ON OUTSTANDING CHARGE AMOUNTS.

MAKE CHEQUE OR MONEY ORDER PAYABLE TO :

GOVERNMENT OF ALBERTA

MAIL TO :

ENERGY

9915 - 108 STREET

EDMONTON, ALBERTA

PLEASE DISREGARD THIS STATEMENT IF PAYMENT HAS BEEN MADE.

T5K 2G8

Monthly Statement Of Account-Summary Form - Alberta