Platte River Implementation Funds Request no. 421

• 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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Holiday Inn
08-08-14
Daniel Workman Folio No. Cashier No. : 25 Room No. : 425
United States A./R Number : Arrival : 08-04-14
Group Code : Departure : 08-08-14
Company : Conf. No. : 61112485
Membership No. : PC 196257571 Rate Code : IMGOV
Invoice No. • Page No. : 1 of 2
Date I Description Charges Credits
08-04-14 `Accommodation 83.00
08-04-14 Hotel Occupancy Tax 2% 1.66
08-04-14 State Sales Tax 5.5% 4.66
08-04-14 County/City Lodging Tax 5% 4.23
08-04-14 City Sales Tax 1.5% 1.27
08-05-14 *Accommodation 83.00
08-05-14 Hotel Occupancy Tax 2% 1.66
08-05-14 State Sales Tax 5.5% 4.66
08-05-14 County/City Lodging Tax 5% 4.23
08-05-14 City Sales Tax 1.5% 1.27
08-06-14 *Accommodation 83.00
08-06-14 Hotel Occupancy Tax 2% 1.66
08-06-14 State Sales Tax 5.5% 4.66
08-06-14 County/City Lodging Tax 5% 4.23
08-06-14 City Sales Tax 1.5% 1.27
08-07-14 *Accommodation 83.00
08-07-14 Hotel Occupancy Tax 2% 1.66
08-07-14 State Sales Tax 5.5% 4.66
08-07-14 County/City Lodging Tax 5% 4.23
08-07-14 City Sales Tax 1.5% 1.27
08-08-14 Visa XXXXXXXXXXXX2850 379.28
Midtown Holiday Inn
2503 South Locust Street >
Grand Island, NE 68801
• Telephone: [phone] Fax: [phone] ?4.1d--- ' /I
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