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c <br />I i t L L/ v U V" I I - - - - -- - -- <br />l0 io +� <br />ts <br />Merchant DEPT OF CENTRAL COLLECT 4 <br />4 <br />1525 SHERMAN ST 3FLR <br />DENVER, CO 80203 (303) 866 -6580 <br />US <br />Order Information t <br />Description: PKA-AD - ABLASI & SON TRUCKING <br />Order Number: P.O. Number: <br />Customer ID: Invoice Number: 3782221 - 3782222 <br />Billing Information Shipping Information <br />A BLASI <br />38043 CR 32A <br />TRINIDAD, CO 81082 <br />MasterCard XXXX2535 <br />Date/Time: <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 />l � <br />�om <br />Shipping: 0.00 <br />Tax 0.00 <br />Total: USD 406.98 <br />RECEIVED <br />FEB 19 2014 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />Cam i Ss OV 4�;v <br />a ) s <br />.:? I- <br />https:/ /accourtLa Ahorize.netfUV themes/ anet/ TransacUorVTransacUonReceipt .aspftansid= 5944585975 <br />1/1 <br />