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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
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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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--------- <br /> � '�'� Bill Ref#: 8500-0360-9112 <br /> Invoice Date: 07/15/2014 <br /> 8200 W COLFAX AVE Account#: <br /> LAKEWOOD, CO 80214-6105 <br /> BILLING DETAIL <br /> Description Qty/Per Rate Amount <br /> TIME&DISTANCE 1 MTH 1,710.00 1,710.00 <br /> BILL TO Subtotal 1,710.00 <br /> TETRA TECH FT.COLLINS MICHAEL PIERCE COLORADO ROAD SAFETY PROG 30 DAY 2.00 60.00 <br /> 527 HUNGTINGTON HILLS DR SALES TAX PCT 9.50 162.45 <br /> FT COLLINS,CO-80525 <br /> Total Charges (USD) 1,932.45 <br /> RENTAL INFORMATION . <br /> PAYMENTS <br /> Date/Time Out Date/Time In Payment • Visa -1,932.45 <br /> 06/13/2014 12:56 PM 07/13/2014 12:19 PM <br /> Renter Total Payments (USD) -1,932.4 <br /> TETRA TECH FT.COLLINS, MICHAEL PIERCE <br /> Amount Due (USD) 0.00 <br /> RENTAL VEHICLES Individual line item char es such as rental rates for Time end Di tance. ercenla a-based charges <br /> ((e. s les taxes and tees or surchar es. and charges s divided between ulttia�fle arties ma be <br /> Miles/Kms rotlided up or gown a whole cent to ansi/re that the charges equal the actual'TotaI Amount YDue <br /> an or to avoid tractional cents. <br /> Color License Model Unit Out In <br /> GRAY 709XUZ S2HC 7JKXR2 21,439 25,423 <br /> VIN:1GC1KXEG2EF155215 <br /> WHITE 861UGO F25C 7JY2FX 10,824 12,000 <br /> VIN:1FT7W2BTOEEB65704 <br /> CLAIM INFORMATION <br /> Claim#I PO#/RO# Insured <br /> Date of Loss Type of Loss Type of Vehicle <br /> Repair Shop <br /> mow <br /> For Billing Inquiries/Payment Terms : <br /> Tel#: <br /> 1299ARADMIN @EHI.COM <br /> Payment Due within days of invoice date <br /> Late payments are subject to a finance charge. <br /> Thank You For Choosing Enterprise <br /> Please Return This Portion With Remittance Amount Due (USD) 0 <br /> Remit To : Paid By: <br /> TETRA TECH FT. COLLINS MICHAEL PIERCE <br /> 527 HUNGTINGTON HILLS DR <br /> FT COLLINS,CO 80525 <br /> Account# Rental Agreement Amount GPBR <br /> 7RRO4G 0 12Z2 <br /> Page I of I <br />
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