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Rental Agreement#: 875KFV <br /> Bill Ref#: 8500-0407-6481 <br /> Invoice Date: 08/18/2014 <br /> 8200 W COLFAX AVE Account#: <br /> LAKEWOOD, CO 80214-6105 <br /> BILLING DETAIL <br /> Description Qty/Per Rate Amount <br /> TIME&DISTANCE 3 DAY 84.00 252.00 <br /> BILL TO <br /> Subtotal 252.00 <br /> TETRA TECH FT.COLLINS MICHAEL PIERCE COLORADO ROAD SAFETY PROG 3 DAY 2.00 6.00 <br /> 527 HUNGTINGTON HILLS DR <br /> FT COLLINS, CO-80525 <br /> SALES TAX PCT 9.50 23.94 <br /> Total Charges USD <br /> RENTAL INFORMATION 9._-. (_ 281.94 <br /> PAYMENTS <br /> Date/Time Out Date/Time In Payment Visa -281.94 <br /> 08/12/2014 12:32 PM 08/15/2014 10:33 AM <br /> Renter Total Payments (USD) -281.94 <br /> TETRA TECH FT. COLLINS,MICHAEL PIERCE <br /> (USD)RENTAL VEHICLES Amount ( ) 0.00 <br /> - - - - - I Ii a item char es such as rental rates for Time nd Distance. ercenta a-based charges <br /> eutt s neps�axecl and �wees or surcharges and charges charges d between actual qre parties maybe <br /> Miles/Kms andort?avoid fractional cents cent to e�s�re that the charges equal the actual'TotBI Amount Jue <br /> Color License Model Unit Out In <br /> WHITE 861UGO F25C 7JY2FX 13,872 14,064 <br /> VI N:1FT7W2BTOEEB65704 <br /> CLAIM INFORMATION <br /> Claim#/PO#/RO# Insured <br /> • <br /> Date of Loss Type of Loss Type of Vehicle <br /> Repair Shop <br /> For Billing Inquiries/Payment Terms : MINIM <br /> TeI#: Nowomi <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 /> 875KFV 0 12Z2 <br /> Page lofI <br />