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PRRIP Request for Disbursements of Contribution No. 423
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PRRIP Request for Disbursements of Contribution No. 423
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Last modified
11/2/2015 3:14:36 PM
Creation date
2/13/2015 3:42:17 PM
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Template:
Water Supply Protection
Description
PRRIP Request for Disbursements of Contribution 423 Agreement R12AC60020 10/07/2014
State
NE
CO
WY
Basin
North Platte
South Platte
Water Division
6
Date
10/7/2014
Author
USBOR
Title
PRRIP Request for Disbursements of Contribution No. 423
Water Supply Pro - Doc Type
Budget
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�' 20 ) / 00 ( <br /> 11m7'lm. : 411 <br /> TIM ROOT INVOICE#925142 <br /> DATE: SEPTEMBER 26, 2014 <br /> Tim Root <br /> 42610 DRIVE 755 <br /> LEXINGTON NEBRASKA, 68850 <br /> Commercial Applicator ID NEB 084185 <br /> Licensed Thru 4/15/16 <br /> Phone 308-325-4840 <br /> [e-mail] timroot @drakesnesthuntingclub.com <br /> BILL Headwaters Corporation COMMENTS East Leaman <br /> TO 4111 4th Ave, Suite 6 Ordered by LTEtPP structure. Spray around <br /> Kearney, NE 68845 Tim building. All vegetation <br /> Tunnell Ammonia Sulfate(AMS), Roundup <br /> Custom, Mentholated Seed Oil <br /> (MSO) <br /> DATE DESCRIPTION BALANCE AMOUNT <br /> _ t <br /> 1.5 hours Argo XTI UTV® $125.00 per hour <br /> 9/25/2014 $187.50 <br /> Cost of chemicals. 76oz. AMS $15.16, 190oz. Roundup custom <br /> $39.90, 114oz MSO $22.80 $77.86 <br /> Sales tax paid on chemicals $3.89 <br /> Mobilization including truck fuel FROM DYER. $1.25 per mile <br /> loaded. 100 miles 14.29 gallon Diesel fuel ($7.26 paid on $125.00 <br /> Diesel fuel tax) <br /> UTV and Sprayer fuel. 1.5 gallon gas ($.67 paid on fuel tax) $5.40 <br /> CURRENT ' 1-30 DAYS 31-60 DAYS 61-90 DAYS OVER 90 DAYS <br /> PAST DUE PAST DUE j PAST DUE PAST DUE AMOUNT DUE <br /> $399.65 $399.65 L <br /> 41MITTANCE <br /> Statement <br /> #925142 <br /> Date <br /> Amount Due $399.65 <br /> Amount Enclosed <br /> Make all checks payable to Tim Root <br />
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