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- -- --- - APR-15-198 WED 11:45 ID:DOLORES PUBLIC LIBRA TEL NO:970 882 2224 #430 P02 <br /> COLORADO COMPENSATION INSURANCE <br /> WORKERS' COMPENSATION INVOICE <br /> Billing Questions, PoIja Number: 3526781 <br /> (303)782-4000 flue Deft AmowA Doc <br /> (800)873-7242 02/16/19" =143M <br /> Invoice Number Invoice Dane <br /> 4431699 01/26/19% <br /> l <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 81323 Refer to invoice documents for due dates. <br /> _Date Eff. Datc ID Descr' Lion SUMMARY_ <br /> Previous Balance $0.00 <br /> 01/26/1998 03/01/1999 006437154 Advance Premium Renewal Charge $143.00 <br /> * Balance Due S143.00 <br /> � � Sa3 <br />