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Invoice <br />Invoice Date:3/21/2016 <br />Invoice #:750 <br />Bill To: <br />Washington Counties Risk Pool <br />2558 RW Johnson Road SW, Suite 106 <br />Tumwater, WA 98512-6103 <br />Tri-State Adjusting Service <br />LLCP O Box 253 <br />Mead WA 99021 <br />Claim No:KT2015061013 <br />Our File #: <br />Insured Name Kittitas County <br />Your prompt payment is appreciated. <br />Thank you for your business. <br />Federal tax ID #46-4223475 <br />Phone #509-891-7703 <br />Total <br />Balance Due <br />Payments/Credits <br />Date of Serv...DescriptionHours/Qty Rate Amount <br />3/9/2016 Set up File0 79.00 0.00 <br />3/17/2016 Travel Seattle, WA-Cle Elum, WA (3.0 - .5)2.5 60.00 150.00 <br />Mileage/200-25175 0.70 122.50 <br />Inspect & Estimate claimant vehicle2.5 50.00 125.00 <br />3/21/2016 First/Final Report0 79.00 0.00 <br />Sales Tax: WA B&O Tax - 1.5 %5.96 5.96 <br />$403.46 <br />$403.46 <br />$0.00 <br />WA.0567