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DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Paget <br /> BILL FOR COLLECTION <br /> Bill#: 1801145749 <br /> Make Remittance Payable To:Bureau of Reclamation Customer: 4000078334 <br /> Billing Contact- Elizabeth Silva Phone;801-624-3648 Date: 01/2012016 <br /> Due Date: 02/1912016 <br /> Remit Payment To: BOR-Upper Colorado Region Send Overnight Mail To: <br /> PO Box 301504 SOR-Upper Colorado <br /> Los Angeles,CA 90030-1504 19220 Normandie Ave Ste B <br /> Torrance CA 90502 t?� <br /> Payer: WESTERN GRAVEL INC <br /> 3001 N TOWNSEND AVE <br /> 05I <br /> MONTROSE CO 81401 Opt <br /> Checks most be made payable to Bureau of <br /> Reclamation.Please detach the top portion or include <br /> bill number an all remittances. <br /> Amount of Payment:$ <br /> Date Description _ Qty Unit Price Amount <br /> Cost Per <br /> 01120f2016 10-W C-40-369 1 435.90 1 435.90 <br /> See attached Note 1 for billing description. <br /> _ Amcwnl Due this Bill; 435.90 <br /> Interest will tre assessed at the rate of 1.00%on any unpW balance Y full payment is not made by the date of deinWancy.A penalty charyo of <br /> 6.00%par annum witl be charged on the unpaid portion of a debt,whlcrt remains unpaid 90 days after the data of dalMquency.An additionmt <br /> administrative fee of S10.00 will be assdssad when ghe dunning notice is Issued.See naboa of actions in event or dednquency. <br /> Accounting Classification: <br /> RX.05944700.3110000 <br /> Customer:40OW78334 <br /> Bill P. 1801145749 <br /> TIN: ( ,1 <br /> Olathe Pit, 2018 <br />