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• TEL N0. Apr 04.00 837 P.01 <br />,y~~ ~..~, v~',a <br />U ~ ~ ~' Service provided by: ORIGINAL INVOICE <br />Please pey from this invoice <br />U. S. POLLUTION CONTROL, INC. No statement will ba rendered <br />For. <br />COLORADO DIV OF MINERALS & GEOLOGY <br />4 MI EAST OF SOMERSET ON HWY 133 <br />SOMERSET, CO 81439 <br />To: <br />WALSH ENVIRONMENTAL <br />ATTN: ED BALTZER <br />145 GRAND AVENUE SUITE E <br />GRAND JUNCTION, CO 81501 <br />Customer No. Invorce Date Invoice No. <br />001035202 11/29/95 POI,362458 <br />ooooz7oel <br />Bill To No. <br />Accounting information <br />5 CO 0061 0083 <br />Terms <br />NET 30 <br />ITEM # QUANTITY ~~ DESCRIPTION PRICE PER NET AMT <br />FAC NO: 12952 <br />MAN t{: 95001 MAN ITEM: A <br />DEPARTURE: 11/02/95 ARRIVAL: 11/03/95 ORDER: 950070530 LD TKT: 70530 <br />WASTE STREAM: GH95-0283 WASTE NAME: OIL PCB<700 PPM <br />ATTN: ED BALTZER <br />TRANS 1,00 TRANSPORTATION <br />LSUMD 4.00 LUMP SUM - DISPOSAL <br />UTTSCA ,63 UTAH TSCA FEE <br />i ~~~' <br />~., <br />450.000 LD 950.00 <br />600.000 DR 2,400.00 <br />9.750 TN 2.99 <br />~.'2c~q• aro <br />•:,~ <br />Cpp <br />Y <br />VCHR• ~~~~ ---' <br />ACCT. Pf1T~ ,~ L <br />Arp VENDOR: <br />TERMS: 1AS ~py~.~~ <br />INV. DATE: .. . <br />I~NV~. AMT. ~S --q <br />- _ -mot' S <br />_ ._. 3-- <br />PP~'~1riEDBV: ,,... <br />_~EO <br />Qoy <br />Remit to <br />Address: p,0. BOX 13618 <br />NEWARK, NJ 07188-0618 <br />,uuv Vn,l nri• OD/1VN <br />Please pay this amount: <br />1 <br />FOR PROPEfl CREDIT, 2, e52. 99. <br />PLEASE INCLUDE INVOICE <br />NUMBER ON REMITTANCE <br />