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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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rc :71 <br /> ruY s <br /> 08-08-14 <br /> Miles Yaw Folio No. : 210898 Cashier No. : 25 Room No. : 424 <br /> 4545 Wheaton Dr NR Number Arrival : 08-04-14 <br /> Fort Collins CO 80525 Group Code • Departure : 08-08-14 <br /> United States <br /> Company • <br /> p y Conf. No. : 61113247 <br /> Membership No. : PC 149340463 Rate Code : IMGOV <br /> Invoice No. Page No. : 2 of 2 <br /> Date Description Charges Credits <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 379.28 379.28 <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 /> Midtown Holiday Inn <br /> 2503 South Locust Street <br /> Grand Island, NE 68801 <br /> Telephone: (308)384-1330 Fax: (308)382-4615 <br />
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