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DI -1,040 <br />UNITED STATES DEPARTMENT OF THE INTERIOR <br />DOWN PAYMENT (BILL) REQUEST <br />Make Remittance Payable To: U.S. Geological Survey <br />Billing Contact: Lisa Dietsch, Admin Officer Phone: 402 - 328 -4116 <br />Remit Payment To: United States Geological Survey <br />MS 271 National Center <br />Reston, VA 20192 <br />Payer: Platte Riv Recovery Implementation <br />Attn: Dr. Jerry'Aenny I Cb,L V L <br />3710 Ce Avenue, Suite E <br />Kearpo NE 68847 <br />To pay through Pay.gov go to https: / /Iww.pay.gov. <br />AMP� �xp- <br />7'D - r <br />Bill #: 90129735 3 <br />Date: 10/25/2012 <br />Due Date: 12/24/2012 <br />0 <br />Additional forms of payment may be accepted. Please <br />email gdatta @usgs.gov or call 703 - 648 -7605 for <br />additional information. <br />Checks must be made payable to <br />U.S. Geological Survey. Please detach the top portion <br />or include bill number on all remittances. <br />Amount of Payment: $ <br />Date <br />Description <br />Qty <br />Unit Price <br />Amount <br />Cost <br />Per <br />10/25/2012 <br />Suspended sediment continuous monitoring for <br />1 <br />6,308.00 <br />1 <br />6,308.00 <br />Platte River near Overton, NE, sediment <br />augmentation pilot project. Advance Payment <br />Required. <br />Agreement 12EMNR000010 <br />USGS Billing Contact: Anne Wettstead, <br />402 - 328 -4182 <br />USGS Tech Contact: Dr. Ron Zelt, 402 - 328 -4140 <br />PRRIP Tech Contact: Dr. Jerry Kenny, <br />308 - 237 -5728 <br />Amount Due this Bill: <br />6,308.00 J <br />Accounting Classification: <br />Sales Order: 23569 <br />Sales Office: GENR <br />Customer Number: 6000000091 <br />TIN: 470769903 <br />