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Ad Order Number <br />Customer <br />0000612719 <br />Sales Req. <br />Customer Account <br />jerilynn.medina <br />910007935 <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 />910007935 <br />PavorAddress <br />1313 SHERMAN STREET, ROOM <br />DENVER CO 80203 USA <br />Payor Phone <br />3038663567 <br />PO Number <br />Ordered By <br />Robin Reilley <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 Tvpe Materials <br />0 0 0 <br />Invoice Text Ad Order Notes <br />C-1994-082 Robin.reilley@state.co.us <br />Net Amount Tax Amount Total Amount Payment Method PavmentAmount Amount Due <br />$138.40 $0.00 $138.40 Billed -Invoiced $0.00 138.40 <br />