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PLEASE MAKE CHECK PAYABLE TO AND MAIL CHECK TO: <br /> CONTROL INVOICE NUMBER <br /> BRC-ELECTION SERVICES - MN 8701454 <br /> LOCK. BOX- #C519 <br /> C of <br /> BUSINESS' RECORDS CORPORATION <br /> Election Services Division <br /> BUSINESS RECORDS CORP. - MN <br /> 840 COLORADO AVE. SOUTH <br /> GOLDEN VALLEY, NN 55416 <br /> PLEASE ADDRESS ALL BILLING INOUIRIES TO THE ABOVE ADDRESS <br /> CHARGE TO SHIP TO <br /> [-ST. ANTHONY CITY CLERK 7 FST. ANTHONY CITY CLERK <br /> 3::01 SILVER LAKE ROAD :I:.O1 SILVER LAKE ROAD <br /> ST. ANTHONY, MN 55418 ST. ANTHONY, MN 55418 <br /> L I LATTN: CAROL JOHNSON <br /> PLEASE RETURN REMITTANCE-COPY WITH YOUR PAYMENT <br /> INVOICE DATE TERMS SHIPPING DATE ORDER RECD DATE P.O. # or CUSTOMER PREP <br /> Customer Reference NUMBER BY <br /> : /^'�/8 NET ::0 <br /> 2/2:--/86 2/16 1726 162::2*:54 02:,7 <br /> PRODUT <br /> NUMBER QUANTITY DESCRIPTION UNIT PRICE AMOUNT <br /> 8200412 28 MODEL VI W/ WRITE-IN SURF. (W/LAMF') 16=_.0000 4564.00 <br /> FREIGHT TO FOLLOW <br /> • <br /> f <br /> SPECIAL INSTRUCTIONS <br /> SUB TOTAL 4564.00 <br /> • TAX .00 <br /> SHIPPING& .00 <br /> HANDLING <br /> PLEASE REMIT E* A DUENT $ 4564.00 <br /> CUSTOMER COPY <br />