Information
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PH address
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Bertram reference number
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Prepared by
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Conducted on
Excess payment details & Signature
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To: Enter Policyholders Name
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From (Bertram manager)
- Rob Jackson
- Keith Sullivan
- Alex Shubin
- Phil Harrod
- James Daplyn
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Enter Date/Time
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Excess amount collected in pounds Stirling £
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This is receipt that the above Bertram manager has collected your excess cheque.
This cheque will not be banked until the week that Bertram commence the works.
If you have any queries before or during the course of works please contact Bertram on 020 8460 3444 -
Policyholder name/signature
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Bertram manager name/signature