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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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f . doyiYt11• <br /> ir. 5 t f g1ress• <br /> 25 07-27-14 <br /> Sara Townsend Folio No. Room No. 402 <br /> 1576 Yosemite Dr Apt 7 A/R Number Arrival : 07-22-14 <br /> Los-Angeles CA 90041-2844 Group Code Departure : 07-27-14 <br /> United States Company Conf. No. 65661128 <br /> Membership No. : PC 136532938 Rate Code : IMGOV <br /> Invoice No. Page No. : 2 of 2 <br /> Date I Description I Charges I Credits <br /> Thank you for staying with us! Qualifying points for this stay will automatically be credited to Total 474.15 474.15 <br /> your account. Please tell us about your stay by writing a review here- <br /> www.ingrewardsclub.com/review. We look forward to welcoming you back soon. <br /> Balance 0.00 <br /> Guest Signature: <br /> I have received the goods and/or services in the amount shown heron.I agree that my liablity for this bill is not waived and agree to be held <br /> personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges.If <br /> a credit card charge,I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. 1 <br /> G; ` <br /> Holiday Inn Express Hotel&Suites <br /> 508 2nd Ave S. <br /> Kearney,NE 68847 <br /> Telephone: (308)234-8100 Fax: (308)338-0892 <br />
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