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-- — - APR-15-'98 WED 11:45 ID:DOLORES PUBLIC LIBRA TEL NO:970 882 2224 #430 P02 <br /> COLORADO COMPENSATION INSURANCE <br /> WORKERS' COMPENSATION INVOICE <br /> Blll�ng Po ' Number: 3526791 <br /> (303)782-4000 �"�Deft AMM Dot <br /> (800)873-7242 02n6n"l _ <br /> Invoice Number Invoice Dace <br /> 44316" Ot/2611"S <br /> tw <br /> GUYRENE WARD AND RAY M WARD DBA RAY To avoid policy cancellation,Balance Due <br /> WARD TRUCKING amounts from previous invoices must be <br /> 30193 HWY 184 paid by the original payment due date. <br /> DELORES CO 91323 Refer to invoice documents for due dates. <br /> SUMMARY <br /> Dale EPf_ Date ID Descr' don _ ce <br /> Previous Balance $0.00 <br /> 01/26/1998 03/01/1999 006437154 Advance Premimn Renewal Charge S143.00 <br /> Balance Due S143.00 <br /> ,ty <br />