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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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sisa <br /> Holiday Inn <br /> Express <br /> &Suites <br /> 117 07-22-14 <br /> Thomas Smrdel Folio No. : 103365 Room No. : 118 <br /> 919 Vanderbilt Ct AIR Number : Arrival : 07-21-14 <br /> Fort Collins CO 80525.1853 Group Code • Departure 07-22-14 <br /> United States Company • Conf. No. 68654572 <br /> Membership No. : PC 324667378 Rate Code : IMGOV <br /> Invoice No. Page No. : 1 of 1 <br /> Date I Description I Charges Credits <br /> 07-21-14 *Accommodation 108.00 <br /> 07-21-14 State Tax 7.56 <br /> 07-21-14 Lodging Tax 3.24 <br /> 07-21-14 Occupancy Tax 2.16 <br /> 07-22-14 Visa XXXXXXXXXXXX3244 120.96 <br /> Thank you for staying with us! Qualifying points for this stay will automatically be credited to <br /> your account. Please tell us about your stay by writing a review here- Total 120.96 120.96 <br /> www.ihgrewardsclub.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. <br /> A44,13 / 0 B ,<Y0 <br /> IZ <br /> Xed.84.4,,S <br /> Holiday Inn Express Lexington <br /> 2605 Plum Creek Parkway <br /> Lexington, NE 68850 <br /> Telephone: (308)324-9900 Fax: (308)324-7000 <br />
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