Laserfiche WebLink
2119/14 mz�GZ IG 1 <br />Transaction Receipt <br />ABLASI <br />38043 CR 32.4 <br />TRINIDAD, CO 81082 <br />Shipping: 0.00 <br />Tax 0.00 <br />Total: USD 406.98 <br />MasterCard XXXX2535 <br />DateTm e: <br />Transaction ID: <br />Transaction Type: <br />Transaction Status: <br />Authorization Code: <br />Payment Method: <br />19- Feb -2014 09:16:18 MST <br />5944585975 <br />Authorization w/ Auto Capture <br />Captured /Pending Settlement <br />101618 <br />MasterCard XXXX2535 <br />11'4 <br />RECEIVED <br />FEB 19 2014 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />rn a0000�7 <br />http llaccm t.authorize. net /UV themes /anet( Transaction /TransactionReceipt.aspftansid= 5944585975 <br />I� <br />,J t <br />�k <br />1/1 <br />P12-013O1-7 <br />Merchant DEPT OF CENTRAL COLLECT <br />1525 SHERMAN ST3FLR <br />DENVER, CO 80203 <br />(303) 866 -6580 <br />US <br />Order Information <br />Description: PKA-AD - ABLASI & SON TRUCKING <br />Order Number: <br />P.O. Number: <br />Customer ID: <br />Invoice Number: 3782221 - 3782222 <br />Billing Information <br />Shipping Information <br />ABLASI <br />38043 CR 32.4 <br />TRINIDAD, CO 81082 <br />Shipping: 0.00 <br />Tax 0.00 <br />Total: USD 406.98 <br />MasterCard XXXX2535 <br />DateTm e: <br />Transaction ID: <br />Transaction Type: <br />Transaction Status: <br />Authorization Code: <br />Payment Method: <br />19- Feb -2014 09:16:18 MST <br />5944585975 <br />Authorization w/ Auto Capture <br />Captured /Pending Settlement <br />101618 <br />MasterCard XXXX2535 <br />11'4 <br />RECEIVED <br />FEB 19 2014 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />rn a0000�7 <br />http llaccm t.authorize. net /UV themes /anet( Transaction /TransactionReceipt.aspftansid= 5944585975 <br />I� <br />,J t <br />�k <br />1/1 <br />