QLeave_S182795 · OPW19/0097

 Total levy payable

  $19,432.00




 Process submission

 Declaration
          • I certify that the information provided is true, correct and complete to the best of my knowledge and belief, knowing it is an
            offence to provide false or misleading information.*

          • I agree that this declaration is to be used within the meaning of the Electronics Transactions (Queensland) Act 2001 as an
            electronic communication containing my signature for the purpose of that Act.*



Amount due

$19,432.00


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