1. 02/25/2011 17:41:26
Your transaction is complete
Your payment has been successfully processed. Thank you.NOTE: Your registration renewal is not complete until you
have received your renewal documents and affixed your renewal tabs to your vehicles license plate. Please allow up to
10 business days for delivery of your renewal documents and tabs by postal mail.Print this page or download a PDF
receipt of your transaction for your records.Please contact your County Motor Vehicle Office for questions regarding
your vehicle registration.For technical support or questions regarding this transaction, please contact Colorado.gov at
(800) 970-3468.
Your transaction is complete. Print this receipt for your records. Your receipt identification number is 9876484. Please
reference this number in any correspondence regarding your transaction.
Payer Information
MICHAEL HENSLEY
5293 WEST 68TH PLACE
ARVADA, CO 80003
Phone: 303-425-4930 ext.
Email: hensleymih@live.com
Account Information
Routing Number : ******018
Account Number : ****8420
Transaction Details
Description Unit Price Quantity Extended Price
JEFFERSON Vehicle Registration Renewal Fee - 411MHP $169.52 1 $169.52
Echeck Fee $1.00 1 $1.00
Total: $170.52
Notes
This online service includes a Portal Administration Fee that allows Colorado.gov to deliver this, and other important
services. This fee is paid to a third party that provides these services for Colorado.gov and thus is not considered
revenue for the state of Colorado. If you do not wish to pay this transaction fee, you have the choice to pay by
traditional means. Online payment is an alternative to traditional types of payments and is considered voluntary. We
appreciate your support of Colorado.gov.
So that you can receive an email confirmation of this transaction, please add webmaster@www.colorado.gov to your list
of approved senders.
When you pay by electronic check (eCheck), you expressly authorize this merchant, if your check is dishonored or
returned for any reason, to collect the amount of the check plus a returned check fee plus any additional fees incurred
by the agency, as authorized by Colorado law. The use of an electronic check (eCheck) for payment and agreement to
these terms by clicking the "Agree/Continue" button is your acknowledgement and acceptance of this policy and its
terms.
Merchant Amount
CO Vehicle Registration $170.52
The total amount charged to your electronic check is $170.52.