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y-: cirY oF eveR�n <br /> � REQUEST FOR BILLING <br /> INVOICE NO.: <br /> D,9TE: March 27,1997 <br /> EXPLANATION OF DETAIL {Please see that this is worded exactly <br /> es Invoice should go to customer} <br /> T0: Finance Department <br /> FROM: Engineering/Public Sesvices <br /> (Neme ol Departmenl) <br /> NLEASE BILL T0: <br /> GAFFNEY CONSTRUCTION <br /> �Cuntomeq <br /> 1715 - 100TH PL SE <br /> (AdAress) <br /> EVERETT WA 98208 <br /> (Ciry) (Slete) (ZIpCoOe) <br /> DESCRIPTION QUANTITY PRICE AMOUNT <br /> Overtime inspection fee: <br /> 4 hours overtime on March S, 1997 for side sewer <br /> inspection at 1902 - 1 lOth Street SE by Carroll <br /> Tollefson. <br /> $150.59 <br /> CR 002 3224016831 <br /> Info�rtlatiofl: Please enclose aUached papers with City invoice. <br /> Send Copy ot Invoice to: Slgned '�( .!i <br /> (Pmson M nq Request) ,� <br /> JANE GILLOW Approved �•+�..�� �j "-�—�`�—� <br /> (Departmen Head) � <br /> roxais nu i.w����i ri.aei <br />