HomeMy WebLinkAboutB10-0344 tov invoice request for pymtS:\Community Development\Admin\Budget-Finance\Invoices\Invoice_finance_form.doc
Invoice Request Form
Route to FINANCE
Bill to: Chris Sublette
Address: 2101 Larimer Street, Ste. 100
City, State and zip: Denver, CO 80205
Phone number: 970-961-8494
Please describe what we are billing. Include dates, town equipment, and
personnel involved. Copies of any backup documents you would have
would be helpful in the collection of this debt.
B10-0344 plan check fee for review of this permit
which was approved and never issued $385.61
Total amount to invoice $385.61
Account number to be credited.
PF 00100003112300