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°JNrrO' City and County of Broomfield <br /> !Alt, One Descombes Drive <br /> Broomfield,CO 80020 <br /> cbrsm (303)438-6350 Miscellaneous Service Invoice <br /> broomfield.org <br /> Customer Number I till tDate" <br /> COLORADO WATER CONSERVATION BOARD 172107369 04/02/2012 <br /> ATTN: DEBORAH BURRELL,GRANTS COORDINATOR <br /> 1313 SHERMAN ST RM 721 , .,'` y' In�lce Nu { �`, Y> <br /> ., gin., . .... ,<,.-,es,x > ......,,..y <br /> DENVER CO 80203 192081729 <br /> Description p.. ' � Quantrty ,Un E r (Total Price C <br /> Balance Forward $19203.75 <br /> Payment on 04/12/2011 $19203.75CR <br /> PLEASE SEE ATTACHED 1 $6140.25 $6140.25 <br /> FOR BILLING INQUIRES PLEASE CALL(303)438-6350 �7'AL itliat N1 DUE UPQN I4.1d t7K v $6140.25 <br /> CITY BULLETIN BOARD: <br /> RETAIN THIS PORTION FOR YOUR RECORDS <br /> RETURN THIS PORTION OF BILL WITH PAYMENT. <br /> PAYMENT METHODS Make Check Payable To:The City and County of Broomfield <br /> •Check made payable to the City and County of Broomfield <br /> •Money Order made payable to the City and County of Broomfield Customer Number. ' <br /> 172107369 <br /> NUM R' 192081729 <br /> IOTALAMOUNT-DUE UPON RECEIPT $6140.25 <br /> PAYMENT AMOUNT ENCLOSED <br /> Please remit full payment of this bill upon receipt. <br /> COLORADO WATER CONSERVATION City and County of Broomfield <br /> BOARD One Descombes Drive <br /> ATTN: DEBORAH BURRELL,GRANTS Broomfield,CO 80020 <br /> COORDINATOR <br /> 1313 SHERMAN ST RM 721 <br /> DENVER CO 80203 <br />