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Reprint <br />Larimer County <br />Citizens Information Center <br />200 W Oak St., Suite 1000 <br />Fort Collins <br />Colorado <br />80521 <br />United States <br />Phone: 970-498-5000 <br />Email: Citizen Information Center@larimer.org <br />Customer Service Number: 970-498-5000 <br />Invoice <br />Invoice To: <br />JC Burdick <br />1800 CR 37E <br />Lyons <br />Colorado <br />80540 <br />Phone: 303-823-5943 <br />Email: bdonofrio@larimer.org <br />Orderno.:JB0540-1000-0474 <br />Fax: 970-498-7985 <br />Web Site: www.larimer.org <br />i Date ordered: <br />I <br />Payment status: <br />Shipping method: <br />12 Nov 2003 <br />Full Payment Received <br />UPS Ground <br />Deliver To: <br />JC Burdick <br />1800 CR 37E <br />Lyons <br />Colorado <br />80540 <br />United States <br />Phone: 303-823-5943 <br />Email: bdonofrio@larimer.org <br />Payment method: Credit Card <br />Purchase order no.: <br />' Produc[ Tax cutlets) Qty Qty I Unit price Total cost <br />code description ! ship back <br />I GISPRD0900 Thematic Maps 1101 4 0 $14.00 $56.00 <br />(Thematic Map 11" x 17" $14.00) _ _ _ _ _ __ _ <br />Sales $56.00 <br />Shipping $3.43 <br />Subtotal $59.43 <br />Sales Taz: Colorado, Larimer Counly $2.20 <br />Total $61.63 <br />These rates are based on UPS published rates and are only to be used as an estimate; total shipping charges <br />may vary and may include additional UPS charges as well as handling charges imposed by parties other than <br />UPS. <br />Payments <br />Date Payment type Amount Comment <br />12 Nov 2003 CC Phone payment $61.63 <br />Sales lax: Colorado, Larimer County Summary <br />Cotle Rate Net Cost Tax <br />1101 3.7% $56.00 $2.07 <br />1101 3.7% $3.43 $0.13Shipping <br />UPS®, UPS and Shield Design® and UNITED PARCEL SERVICE®are trademarks of United Parcel <br />Service of America, Inc. <br />Page 1 of 1 12 Nov 2003 <br />