HomeMy WebLinkAbout1.01 ReceiptRECEIPT/INVOICE
Garfield County
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Phone: (970)945-8212 Fax: (970)384-3470
Applicant
EnCana Oil and Gas
EnCana Oil and Gas
2717 CR 215 100
Parachute, CO 81635-
2717 CR 215 100
FRaFashoterGIO81635-
Return to:
Invoice Number:
Invoice Date:
Plan Case:
INV -3-13-22319
3/22/13
Limited Impact Review Application, LIPA-3-13-7520
Garfield County
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Memo:
J-25 CDP project
Fee Name
Fee Type
Fee Amount
Limited Impact Application Fee
PAYMENT
Date
Fixed
$400.00
Total Fees Due: $400.00
Pay Type
Check Number
Amount Paid
Change
03/22/2013 Credit Card -1
$400.00
$0.00
Total Paid:
$400.00
Total Due: $0.00
Friday, March 22, 2013
printReceipt
Community Development
108 8th Street Suite 401
Glenwood Springs, CO 81601
MERCHANT # 941000097881
SALE
REF NUM: 308123144433
VISA
************1678
INV NUM: LIPA-7520
EXP.: ****
DATE: 3/22/2013 TIME: 5:23:16 PM
AUTH NO: 095659
AVS: Z CVV:
PO NUMBER: Tax:
TOTAL: $ 400.00
Customer #: RBusch
Customer Name: Renata Busch
CUSTOMER ACKNOWLEDGES RECEIPT OF GOODS AND/OR SERVICES IN THE
AMOUNT OF THE TOTAL SHOWN HEREON AND AGREES TO PERFORM THE
OBLIGATIONS SET FORTH BY THE CUSTOMERS AGREEMENT WITH THE ISSUER.
https://www.payeverywhere.com/Transaction/printReceipt.aspx?transactionlD=24447026[3/22/2013 5:23:26 PM]