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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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• Rental Agreement#: 803KNV <br /> Bill Ref#: 8500-0402-2977 <br /> Invoice Date: 08/13/2014 <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 <br /> 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 <br /> FT COLLINS,CO-80525 <br /> SALES TAX PCT 9.50 162.45 <br /> RENTAL INFORMATION Total Charges (USD) 1,932.45 <br /> PAYMENTS <br /> Date/Time Out Date/Time In Payment Visa -1,932.45 <br /> 07/13/2014 12:19 PM 08/12/2014 12:32 PM <br /> Renter Total Payments(USD) -1,932.4 <br /> TETRA TECH FT.COLLINS,MICHAEL PIERCE <br /> Amount Due USD <br /> RENTAL VEHICLES ) 0.00 <br /> Individual line item charges such as rental rates for Time and Di tance.eercenta a-based charges <br /> (e.L1a. stla es axe and ees or surchar est and charg s divided b twe n ultiotre arties ma be <br /> Miles/Kms and/or touLo,dtractionalcenfsoent to ensure that the cPharges equal the ac�ual'Total Amount�ue <br /> Color License Model Unit Out In <br /> WHITE 861UGO F25C 7JY2FX 12,000 13,872 <br /> VIN:1FT7W2BTOEEB65704 <br /> CLAIM INFORMATION <br /> Claim#/PO#/RO# Insured <br /> Date of Loss Type of Loss Type of Vehicle <br /> Repair Shop <br /> For Billing Inquiries/Payment Terms: <br /> Te l#: MIMI= <br /> MINIM <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 /> • <br /> Account# Rental Agreement Amount GPBR <br /> 803KNV 0 12Z2 <br /> Page I of I <br />
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