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Ad Order Number <br />Customer <br /> <br />Sales Rep. <br />Customer Account <br />jerilynn.medina <br /> <br />Order Taker <br />Customer Address <br />jerilynn.medina <br />1313 SHERMAN STREET, ROOM: <br />DENVER CO 80203 USA <br />Order Source <br />E-mail <br />Customer Phone <br />3038663567 <br />Order Confirmation <br />Payor Customer <br />Payor Account <br /> <br />Payor Address <br />1313 SHERMAN STREET, ROOM <br />DENVER CO 80203 USA <br />Payor Phone <br />3038663567 <br />PO Number <br />Ordered By <br />Tabetha Lynch <br />Customer Fax <br />3038328106 <br />Customer EMail <br />jeffreyc.thompson@state. co. us <br />Special Pricin <br />Tear Sheets Proofs Affidavits Blind Box Promo Type Materials <br />0 0 0 <br />Invoice Text Ad Order Notes <br />PR -12 Tabetha.lynch @state. co. us <br />Net Amount Tax Amount Total Amount Payment Method Payment Amount Amount Due <br />$160.80 $0.00 $160.80 Billed -Invoiced $0.00 <br />160.80 <br />