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Platte River Implementation Funds Request no. 421
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Platte River Implementation Funds Request no. 421
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Last modified
10/8/2014 3:10:25 PM
Creation date
10/8/2014 9:48:47 AM
Metadata
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Template:
Water Supply Protection
File Number
421
Description
Request for Disbursement of Contributuion no. 421 Agreement no. R12AC60020
State
CO
Basin
North Platte
Author
Platte River Implementation Funds
Water Supply Pro - Doc Type
Correspondence
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RECEIPT <br /> Receipt No. Batch No. Merchant No. Terminal ID Entered By <br /> 6243 1472 2742 10290013878 Steve Cole <br /> Delivered On Destination Tail No. Entered On <br /> 08/06/2014 4000X 08/06/2014 <br /> 0*. 10:33:38 <br /> (tJ' Payment Type Exp Date Auth No. <br /> VISA ************0851 Swiped p 03/16 03379C <br /> AVFUEL LOCATION <br /> Kearney Aviation Center <br /> ERA/KEAR <br /> 308.233.5800 <br /> pjossi @kearneyaviation.corn <br /> www.kearneyaviation.corn <br /> DESCRIPTION UNIT PRICE QTY PRODUCT TAX/DISCOUNT TOTAL <br /> USD USD USD <br /> USD <br /> Aircraft Rental . 130.00000 /EA 2 260.00 <br /> 274.30 <br /> Sales Tax-City 5.5% 14.30 <br /> Flight Instruction 30.00000 /EA 2 60.00 <br /> 60.00 <br /> TOTAL <br /> 320.00 14.30 <br /> 334.30 <br /> Customer Signature <br /> By signing this receipt. I agree I have received and will pay for the above goods and/or services rendered. <br /> Card payments are governed by card issuer agreement. <br /> THANK YOU FOR YOUR BUSINESS. WE REALLY APPRECIATE IT! <br /> Find Avfuel Worldwide at www.avfuel.com <br /> 729/Z <br />
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