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<br /> <br /> <br /> <br />USDA - FOREST SERVICE <br />BILL FOR COLLECTION <br /> <br /> <br />FS-6500-89 (5/92) <br /> <br /> <br />NOVEMBER 29, 1994 <br /> <br />\ Please send money order, bank draft, or check <br />*\payable to: USDA-FOREST SERVICE at the following address: <br />**\ COLLECTION OFFICER, FS, Rocky Mountain Region <br />**/ P.O. BOX 60000, FILE NO. 31654 <br />*/ SAN FRANCISCO, CA 94160-1654 <br />/ (A pre-addressed envelope is provided for your convenience) <br /> <br />/ 2. <br />/* <br />/** <br />\** <br />\* <br />\ <br /> <br />Issuing office address <br /> <br />WHITE RIVER NAT'L FOREST <br />P.O. BOX 948 <br />GLENWOOD SPRINGS, CO 81602 <br /> <br />1- <br /> <br />FOR INFORMATION: Please call <br />303-945-3215 or write to the <br />issuing office address. <br /> <br />DO NOT send correspondence or <br />change of address wi th your payment. <br /> <br />L <br /> <br />CARROLL, DAVIDSON, & COOK <br />C/O CARYL R. CARROLL <br />P. O. BOX 219 <br />COCOA FL 32923 0219 <br /> <br />-I <br /> <br />-I <br /> <br />------------> FOR PROPER CREDIT be sure to include a copy of this bill with your Payment <----------- <br /> <br />------------------------------------------fold here--------------------------------------------------------------- <br /> <br />3. Date or Period <br /> <br />4. Description <br /> <br />-2720 SPECIAL USES ' 5483-01 BLAiico~ <br />IRRIGATION WATER DITCH <br />Permi t issued on 06/08/88 <br />Description/Location: <br /> <br />5. Amount. <br /> <br />.01/01/95 to <br />12131/95 <br /> <br />-- -'134.00 <br /> <br />(~ <br /> <br />~ p.~ pJ~/c1 <br />C&(\ {I ~lol \ <br />f~~ <br /> <br />6. Bill NUJber <br /> <br />7. Unit Number 8_ Subunit/Contract Number <br /> <br />9. Payment Due Date <br /> <br />10. Amount Due <br /> <br />056252 <br /> <br />T2-15 <br /> <br />01103/95 <br /> <br />'134.00 <br /> <br />I i I i <br />\*******************************************..*********.***..**********************..****************************/ <br />\\ NOTE: Payments not received by the due date are' subject to a LATE PAYMENT CHARGE at the rate published // ' <br />\\\ by the Department of the Treasury unless a different rate is prescribed by contract or agreement. III <br />III Postmarks are not honored. ADMINISTRATIVE CHARGES may also be assessed. An additional 6X PENALTY \\\ <br />// will be charged for payments over 90 days past due. (Authority: Debt Collection Act of 1982.) \\ <br />/****************************************************************************************************************\ <br /> <br />11. REMARKS <br /> <br />12. Forest Service Accounting Data <br /> <br />TRANS. <br />CODE <br /> <br />MANAGEMENT <br />CODE /FY <br /> <br />OBJECT <br />CLASS <br /> <br />AMOUNT <br /> <br />A <br /> <br />898317 / 94 <br /> <br />S134.00 <br /> <br />TOTAL ----------> <br /> <br />S134.00 <br />