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DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1 <br /> DOWN PAYMENT(BILL)REQUEST <br /> Bill#: 90413537 <br /> Make Remittance Payable To: U.S. Geological Survey Customer: 6000000087 <br /> Billing Contact: Lisa Dietsch,Admin Officer Phone:402-328-4116 Date: 01/14/2016 <br /> Due Date: 03/14/2016 II <br /> Remit Payment To: United States Geological Survey D l(©E IW[ <br /> P.O. Box 71362 LI LI?EWAri <br /> Philadelphia, PA 19176-1362 MRP <br /> An�P/ <br /> Payer: Platte Riv Recovery Implementa <br /> Attn: Dr.Jerry Kenny Additional forms of payment may be accepted. Please ; <br /> 4111 4th Ave Ste 6 email GS-A-HQ_RMS@USGS.GOV or call <br /> Kearney NE 68846 703-648-7683 for additional information. <br /> To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to <br /> U.S.Geological Survey. Please detach the top portion <br /> or include bill number on all remittances. <br /> Amount of Payment:$ <br /> Date Description Qty Unit Price Amount <br /> Cost Per <br /> 01/14/2016 Streamgaging stations on the middle channel of the 1 4,390.00 1 4,390.00 <br /> Platte River at Cottonwood Ranch near,Overton, <br /> Nebraska,as agreed upon in the Joint Funding • <br /> Agreement between the Nebraska Public Power <br /> District and the US Geological Survey. <br /> Agreement No. 16EMNE000030 <br /> USGS Billing POC:Anne Wettstead,402-328-4182 <br /> 16EMNE000030 <br /> Amount Due this Bill: 4,390.00 1.. . <br /> Accounting Classification: • <br /> Sales Order: 52483 <br /> Sales Office:GENR • <br /> Customer:6000000087 , <br /> Accounting#: 10593522 <br /> TIN:476000102 <br />