Laserfiche WebLink
• <br /> Restorx of'Washington Invoice <br /> 1307 West Valley Highway N Suite 107 <br /> Auburn WA 98001 DATE INVOICE NO. <br /> (253) 249-0040 10/28/2013 13-19553 <br /> (253)249-0046 Fax <br /> Site/Homeowner • Insurance/Contractor <br /> • <br /> Pat Colweli Pat Colwell <br /> 611 Warren Ave 611 Warren Ave <br /> Everett,WA 98201 Everett,WA 98201 <br /> TERMS REP INSURANCE CO. AGENT Claim Number <br /> 2%10 Net 30 WS Self Pay <br /> ITEM DESCRIPTION RATE AMOUNT <br /> Black Water Struct... Totals For Structure 225.00 <br /> 3105 Everett 9.20% 20.70 <br /> Thank you for your business. <br /> 6=7_ • <br /> Total $245.70 <br /> Federal I.D. #91-1122326 <br />