QLeave Levy Receipt

                                                                        notification and payment
                                                                                                                          CONFIRMATION

This form is issued in accordance with the Building and Construction Industry (Portable Long Service Leave) Act 1991 s77(2). Form BCI 14v0.




Confirmation date: July 19, 2021



BUILDING AND CONSTRUCTION WORK DETAILS
QLeave levy number: S273050                                                     Date notified: July 19, 2021

Building and construction work description: UNITS - RESIDENTIAL

Lot no.:                                                                       Plan no.:

Building and construction work address: 31 BOTTLEBRUSH AVE

Suburb: NOOSA HEADS                                                                                           Postcode: 4567

Notified cost of work (GST exclusive): $ 2,440,000

Total levy paid:                               $ 14,030

Exempted cost of work (GST exclusive): $ 0

Start date: July 19, 2021                                                      Finish date: March 30, 2022

Council:

Certifier: PURE BUILDING APPROVALS

Owner: CAMTEGAN PTY LTD

Principal Contractor: COLE PROJECTS QLD PTY LTD


QLeave has issued this form to confirm that notification and payment has been received. Under s.77
of the Building and Construction Industry (Portable Long Service Leave) Act 1991, all obligations have
been met.

BUILDING AND CONSTRUCTION WORK COMPLETED
When your building and construction work reaches practical completion, you will be required to submit your final costs and
completion date to QLeave. To provide QLeave with these details, please complete the Building and construction work completed
form available at www.qleave.qld.gov.au and send it to [email protected] QLEAVE
  Unit 1, 62 Crockford Street, Northgate Qld 4013 | PO Box 315, Virginia BC Qld 4014
  Freecall 1800 803 481 | Email [email protected] | Web www.qleave.qld.gov.au



QLeave is collecting the information on this form for the purposes of administering the Building and Construction
Industry (Portable Long Service Leave) Act 1991, as required by that Act. QLeave may give some or all of this          FM/LV/10624.7
information to various other Government departments or agencies as required or permitted by law.