North Dakota State University

Richland County Consortium
Courthouse				Phone:
418 2nd Avenue North				Site #:
Wahpeton, ND 58075				E-mail:

Statement

Tax ID #:	450305413			Bill To:
Date:


Student/s:

Date	Type	Invoice #	Description	Amount	Payment	Balance
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Reminder: Please include the statement number on your check.					�Total	�$�� -��
Terms: Balance due in 30 days.

REMITTANCE
Customer Name:
Customer ID:
Tax ID #:		450305413
Date:
Amount Due:
Amount Enclosed:

Information for Prospective Students

NDSU is an equal opportunity institution

This information may be copied for noncommercial, educational purposes in its entirety with no changes.
Requests to use any portion of the document should be sent to NDSU.permission@ndsu.edu.
North Dakota State University Agriculture and University Extension
Morrill Hall, P.O. Box 6050, Fargo, ND 58108-6050