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I INDIVIDUAL /COMPANY TO BE BILLED <br />NAME: • <br />ADDRESS: <br />'BILLING INFORMATION <br />DATE OF SERVICE: <br />DESCRIPTION: Security at tent party June 3rd and 4th from 1930 hrs to 0030 hrs <br />CUSTOMER NO: <br />Requ$ tors Signature <br />REVENUE ACCOUNT NO: <br />CITY OF RAMSEY <br />INVOICE REQUEST, <br />Complete and Submit to the Finance Department <br />End Zone <br />6415 Hwy #10 <br />'Singewald $33.63 x 2.75 x 5 hrs= $462.41 <br />Dixon $31.78 x 2.75 x 5 hrs= $436.98 <br />Wieler $32.39 x 2.75 x 5 hrs= $445.35 <br />Law $32.39 x 2.75 x 5 hrs= $445.35 <br />SUBMITTED BY: Way <br />ACCOUNT: . Z l f . ;, , + 0 { AMOUNT: $ 1,790.09 <br />ACCOUNT: AMOUNT: <br />ACCOUNT: AMOUNT: <br />'TOTAL AMOUNT TO BILL: <br />$ 1,790.09 <br />Date <br />FINANCE DEPT. USE ONLY <br />( 7- / <br />BATCH NO: <br />DATE: <br />REVISION: JUNE 2009 <br />