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INVOICE <br />01/25/11 <br />Mail to: <br />STATE OF MINNESOTA <br />HOMELAND SECURITY <br />444 CEDAR ST #223 <br />EMERGENCY MANAGEMENT <br />ST. PAUL MN 55101 <br />Payor Name Invoice Number <br />ELK RIVER WATER TREATMENT WELL P07 21200000211 <br />Customer Number Due Date Amount Due <br />0000010519-1 02/24/11 11,081.62 <br />Billing Code Address change? !f yes, check box. <br />o72H Write correct address on back -~ <br />Please write amount.. paid in boxes shown below: <br />Bill to: <br />13069 ORONO PARKWAY <br />ELK RIVER WATER TREATMENT WELL <br />ATTN: DAVE BERG <br />BOX 430 <br />ELK RIVER MN 55330-0430 <br />P07 21200000211 8 000001108162 <br />.................................................................................................................................................................................................................................................................................................................... <br />Please detach the above stub anCf return with your check or money order payable to: DEPARTMENT of PUBLIC SAFETY <br />Write Invoice Number on front of check or money order. DO NOT MAIL CASH. <br />INTEREST MAY BE CHARGED ON PAST DUE AMOUNTS <br />„ r-r <br />i{~7` =fin a, '~~~'j <br />" "TL+Ig'~+.i sy~ <br />~ P <br />FederalTax ID 41-6007162 <br />The State of Minnesota <br />INVOICE <br />Customer Number Billing Cade ; ©riq. lnv. Date <br />0000010519-1 072H <br />PAGE 1 <br /> Custart$r Name Invo ce Number ; Invoice Dafe Due :Date <br /> ELK RIVER WATER TREATMENT WELL P07 21200000211 01/25/11 02/24/11 <br />Ref <br />Line DESCRIPTION Date of No. of Unit of Unit Price CHARGES/CREDIT <br />No. Service Units Measure <br />O1 CHLORINE LEAK-NO.METRO CAT- 10/29/10 11,081.62 <br />AMOUNT DUE: 11,081.62 <br />f t ~ .(: '~ <br />~. ~.; . <br />;,- <br />PAYMENT IS DUE WITHIN 30 DAYS <br />FFa - 1 ?_Ol <br />IF YOU HAVE ANY QUESTIONS, PLEASE CALL: 651-201-7425 ~ <br />CONTACT: KEVIN REED _ <br />C <br />