DOCKET NO.:HHD-CV-23-6172539-S
`
`CONNECTICUT BAIL BONDS GROUP, LLC
`
`V.
`
`STEVEN COLORADO-DIAZ, ET AL
`
`:
`
`;
`
`:
`
`:
`
`SUPERIOR COURT
`
`JUDICIAL DISTRICT
`
`AT HARTFORD
`
`FEBRUARY8, 2024
`
`AFFIDAVIT OF DEBT
`
`The undersigned, being duly sworn, deposesandsays:
`
`1.
`
`I am over the age of eighteen (18) years and believe in the obligation of an oath;
`
`I am the duly authorized Surety Bail Bonds Agentfor theplaintiff, Connecticut
`2.
`Bail Bonds Group, LLC,in the above-captioned matter and, in such capacity, I have reviewed
`the file and have personal knowledgeof the facts set forth in this Affidavit;
`
`Myduties as Surety Bail Bonds Agent include receiving and entering into
`3,
`agreements to provide bail bonds and credit terms on behalf ofthe plaintiff, Connecticut Bail
`Bonds Group, LLC,to clients who purchase bail bonds from Connecticut Bail Bonds Group,
`LLC and I maintain a record of unpaid invoices;
`
`On a daily basis, I work with the plaintiffs computerized billing system, which
`4,
`records the defendant customer’s charges and paymentsto the loan account. I have accesstoall
`the information on the computer system, whichis reflected in the defendant customet’sbilling
`statement, andI find that the computer system is generally reliable and the defendant customet’s
`account information is represented accurately on the billing statement;
`
`Thebilling statement attached hereto is a true copy of the original document. The
`5.
`billing statement was madein the regular course of business andit is the regular course of
`business of the plaintiff to make such records. The attachedbilling statement was made at the
`time that the defendant customer’s account was credited for payments and charged for interest
`and fees to the account;
`
`6.
`
`On or aboutJuly 27, 2022, the defendant, Steven Colorado-Diaz,as Maker, and
`
`

`

`the defendant, Sandra D. Colon, as Co-Signor, executed a Promissory Note with the Plaintiff,
`Connecticut Bail Bonds Group, LLC. A copy ofsaid Promissory Note is attached hereto and
`madea part hereof as Exhibit A;
`
`Pursuant to the Promissory Note, the defendants, Steven Colorado-Diaz and
`7.
`Sandra D. Colon, agreed to pay the plaintiff, Connecticut Bail Bonds Group, LLC,all invoices
`for the bail bond according to the termsofsaid invoices, and pay reasonable interest together
`with reasonableattorney’s fees andcostsof collection in the eventof a default in payment;
`
`Pursuant to the Promissory Note,the Plaintiff can collect the costs of collection
`8.
`including reasonable attorney’s fees;
`
`The accruing interest to date in accordance with the Promissory Noteis as follows:
`9.
`10/07/22 to 07/24/23 at 4.5% per annum is $148.25;
`
`10.
`
`Legal fees in accordance with the Promissory Note at 15% are $622.50;
`
`‘There is presently a balance outstanding, due and owing from the defendants,
`11.
`Steven Colorado-Diaz and Sandra D. Colon,to the plaintiff, Connecticut Bail Bonds Group,
`LLC,in the amountof $4,150.00, plus accruing interest and attorney’s fees in accordance with
`the Promissory Note;
`
`Although due demand for paymentof the aforementioned amountof $4,150.00
`12.
`has been made upon the defendants, Steven Colorado-Diaz and Sandra D. Colon, said
`defendants havefailed, refused and neglected to pay the aforementioned sum andare in default
`in accordance with the Promissory Note; and
`
`13.
`
`The total amount due of $4,920.75 is calculated as follows:
`
`Demand
`Acctuing interest at 4.5% per annum of
`demand of $4,150.00 from 10/07/22 to 07/24/23
`Legal fees in accordance with the Promissory Note
`Total Due
`
`$
`
`$
`$
`$
`
`4,150.00
`
`148.25
`622.50
`4,920.75
`
`

`

`14.
`
`The plaintiff requests 10% post-judgmentinterest pursuant to §37-3a.
`
`THE PLAINTFF,
`CONNECTICUT BAIL BONDS GROUP, LLC
`
`Surety Bail Bonds Agent
`
`Subscribed and sworn to before me on February 8.
`
` By: Yashira Sanchez,
`
`
`
` Melissa L. Simonik
`Commissioner of Superior Court
`
`

`

`BILL OF COSTS
`
`Entry Fee
`Priority Fee
`Proceedings
`Before Trial
`TOTAL
`
`§
`$
`
`$
`$
`
`95.00
`15.20
`
`0.00
`
`110.20 Melissa L. Simonik
`
`\
`The Law Office of Melissa L. Simonik, LLC
`1001 Farmington Avenue, Suite 303
`Bristol, CT 06010
`Telephone: (860) 506-4409
`Facsimile: (860) 506-4602
`
`

`

`EXHIBITA
`
`

`

`CONNECTICUT BAIL BONDS GROUP
`1 1 ASYLUM STREET, SUITE 512
`HARTFORD, CT 06103
`(860)420-2245 (203)663-3338
`PAYMENT PROCESSOR NOELLE 860-414-5010
`CASH AFP ID SCONNECTICUTBAILBONDS
`
` “45°: There is an unpaid balance of
`
`dollars.
`
`ATE, FOR VALUE RECEIVED, the undersigned promises to pay to the order of CONNECTICUT
`BAIL BONDS GROUP,LLC.the principal sum as indicated in the above paragraph as follows:
`
` o
`
`| hereby agree to pay the balancein full on or before
`
`/
`
`/20_.
`
`o
`
`| agree to make aninitialpaymentof $
`
`
`
`‘
`
`on. / and
`
` o [agree to pay Siege
`
`
`on or before Bapegile
`IT iS HEREBY AGREEDthat | am responsible for all costs of collection, including reasonable interest and/or
`attomey's fees, and if it becomes necessary to apprehend and surrender the defendant to the court; all
`expensesincurred as a result of such forfeiture shall becomea part of this debt and may be collected bas a part
`thereof in any action necessary to collect this note. | understand | remain responsible for the entire amountof
`the debt evenif the above namedprincipal becomesincarcerated andIs withdrawn from anycivil action.
`DEFAULT IN THE PAYMENTwhendue fora period of thirty (30) days after any of the same became due and
`payable, or the occurrence of any other event of default, or thefiling of a petition in bankruptcy by or against the
`Maker, and the continuance of any such decree or order, unstayed, and in effect for a period of sixty (60)
`consecutive days; or any substantial change in the composition of the Maker shall render the whole of this Note
`immediately due and payable at the option of the holder hereof, and any failure to exercise said option with
`respect to the default shall not constitute a waiver of the right of said holder to exercise said option at a later
`time with respect to a subsequent default.
`THE MAKER FURTHER WAIVESdiligence, demand, presentment for payment, notice of nonpayment, protest,
`and notice of protest, and notice of any renewals or extensionsofthis note.
`SHOULD THIS NOTE BE SIGNED by more than one maker, referencesin this note to Maker or Makers in the
`singular shall include the plural andall obligations herein contained shail be the joint and several obligations of
`each Maker hereof.
`
`THE MAKER HEREIN RESERVEStheright to anticipate paymentunderthis note at any time, without penalty.
`THE COVENANTS AND AGREEMENTScontained herein shall bind and the rights herein shail transfer to the
`benefit of the respective heirs, beneficiaries and assigns of the Maker and the Holder.
`THE HOLDER HAS extended the courtesy of offering payment terms.
`It is the responsibility of the Maker to
`ensure payments are madeattheoffice of the holderoratits discretion, AND ON TIME.
`
`27 Fhall be governed andinterpreted underthe lawsof the State of Connecticut.
`
`
`
`
`
`Ear
`eamree ete
`Eas Sveae: TEL
`
`Sues
`
`

`

`
`
`.
`
`
`
`DEE
`
` enlled hidemnitorts) FreedonrBa
`WEINESSETE:
`WHEREAS, the:‘Companyfhak exteuted,orfsabauita.cxecuts infbehalfofand/or ar the instance oftheIndemuitior(s), the bondor.undertakingdescribedintheforegoing
`‘spplication, upon thesecurity. andindemnilyherein provided, which applicationis herehyreferred to and madex part ofthis agreement:
`NOW THERERORE, in conskleration of the execution
`byct
`CoripanyofStick Sond-or underfaking, theIndemnitor (5) cotonants(s) andagree(s) with the Company as.foliows:
`
`Le
`‘The Indensmitor(sy willpaythe Company;orits duly authorized
`Ageat, the preaiiumis) specified §insaldapplicationaf the times and in.the amounts ihereitestated,
`
`2)
`The Indemnitans) will pay any collection costs)andiurfeels$} (includingthe:States} maximum legalinterest rite}
`on uncollected premiums), ander cost(s) of”
`
`
`-[ apprehension ofDe
`nt aholdhe fucfeit higher balbond(a); including butnollimited to BeilHnforeement, priVaté.in
`aiers, Confidential informants, travel, aid any other
`
`Teasnnable
`expenses fieumed in téhition to the forfeiture iidluding the actual amount to bepaid to the Slate inthe event ofaen-caplure,
`
`
`3;
`The Indeniniioris} withat ai} times Indemnityand keep indemalfied the.Company‘and save. harmlessthe Companyfrrini and against any und'all claims, demands,
`liabilities, costs, charges, legal fees, disbursemecintyand capenses.oFeveory‘kind andnature, whieh theCompanyshall at any time sususinor incur. and as well fron alforders,
`‘decrees. judgmenls.and.adjudication:against the:-Cimpanyby.reason orin ponsequence:ofhavingtveculedsich bond or-undenaking in behalf of and‘urat the insiance ofPhe
`| Indsmnitor{si(or any ofikem) awd weilpay over, reimburse.and: make good tothe Company,dts suevessorg andassigns,all:sums ani!anwunts.ofmondy-requied-lo-mestevery
`
`
`
`slain demand; liability, 6 pense,Sait.order, decree,payment anor adjudication against she Companyby. rasan ofdhe.excoutiodafsuch-bond er anidertaking-aud any
`
`other bonds or uridertakings executed in behol fof and/or af theinstance ofthe Indemnitor{s) and before theCommpanyshall be:required lo paythereunder, Theliability: foflegal
`reg and disbursements includys all Taytil feeand dishursctisents that the’Companymayrpayorincurinany.legal-proceedings,incliiding proceedingsin which(He Campanymay
`
`
`riordefendify rivht in collector Wa
`eharge for any. legal feesand/ordisbursements incurredin earlier proceedings,
`4;,
`TheJndemnitor’s)will immediately: notifythe Compaay ofthe makingofany. demand ofWiepaying-of any notice or the conmencementofanyprocesiing orthe Tsing
`{ofany ability,whi. theCompany waybe required to discharge by reason‘orthie execution ofany such bond, orundenaking.
`§.
` ° The vouchers.or other evidence ofpuynieatbytheCompany,in discharge ofanyliability under or incurred imeonneetionawithanysuchbond or undertaking, or ipeurred
`in connection with any collaleral-held bythe Company,shalf be conclusive evidenceapuinst the Indemnitor(s)ofthe {set and wmountoftheHability-ofthe-Indeninitor(s) to. Whe
`+ompaay,
`6.
`Inthe event the Conipanyexecutes anybond or undertaking with Co-Sureties,or reinsures anyportion of aaysucht bond.gr-undt making,or procume the execulion ofany’
`such bondor undertuking, the Jndemnitor(s)aigree(s3 that all. ofthe.torms and conditionsof this instrumentshall apply: to anid operate-for the benelit of the Company,‘the procured
`
`surglies andor co-sirulles.und/orreinsurers as theirtespective Interests shayappear,
`/
`;
`
`
`7.
`TheCompany shalthave the right at anytime, without nitive te the-Indemnitor(s),
`to tninsfés andassignthis agreement and‘w the eoNateral pledged thereunder,to any
`
`‘person,relnsureryCo-Surety, Suréty.or Insuruics Company-whleh maytake overdad assume-inwhole or in part, the obligation ofthe:Company under any. suchbondor
`
`underiaking and theretipan tie fransferee shall become vested with
`all the powers and rights given to the Company Ihereunderandthe Companyshuill berelleved.and filly
`
`
`discharged freewanyJi
`Yor responsibilityfor saidcolliaterdlaniderthis, agreement,
`
`
`
`8.
`The Indemmnitor(s) agree(s)
`that the Company.myat ony Yime.takesnch’steps as it may diem accessary ta.Wbisinifs scicase from any and allcTiability anderanyOf sald
`
`
`
`
`bondsor. undertaxings, andit shall-noftbenecessary for theCampany-to;give.the Indemnilor(s)netice ofany fact or informationcoming s19 theCompuny's-nolice-orknowledge
`
`concemngor affecting is dghts-brliabilityander anyauch bond oyundertaking, notice ofallsuch-‘Beingbereby expresslywaived} andthat the Companymaysecure and further
`
`Hidemnifyitselfagainst: loss, dantoges and/or expenses if connectinnwith anysuch-bond or undertdking:in any. manner it may thikprope ‘inelnding surrendér-ofthe defendant:
`
`
`(oither before, orafer forfeiture andorpayment}iftheCompnityshalldeem the same.advisable: and all expenses which the Company may sustain or incurin obtaining such
`
`
`relcase arin further securing
`itselfagains
`inl be-borne:and paid’by tie Indemnltoi{s):
`
`
`
`9:
`Ehe‘Indemnitort,
`byauthorice(s}
`nuyatlomeyof anycourt-ofrecord to appear. for him orihemén-and Befiire any court, in anyactlod, sult or proceeding, and retvive
`
`process.on bevsll afthe Indemnilor(s), or waive thetssuing and service.ofprocess, and enter or confessjudgment, or permil judgment.to be enicred, against the Andemnilor(s),
`
`Gointly and/or jointlyand severally) in Raver of the Company,for ihe amountofany forfeiturewhich maybe takemogainstaby Companyonithe: said:bond orundertakingand for
` the-amount-ofmysnd af} sums hereinabove in paragraphs 1,2, 3.and Txeferred to; und-to telease’ all crror.and waiveall right Iostdy-af execution orvappeal: and
`to do anil perform
`
`
`all néts and. cxeeute all:papersinthe naniofIndemuniter(s)iw orderto-carryinto cFieet the authorityhereinabive given-titas fall'add ample manner as theIndenmitor(sy might doif.
`‘personally presents hereby ratifyingarid confining all thatthesaid altameyshall do or cause tobedone.byvirtue thereof and the Tedeny
`bly walvets) ibe
`
`
`
`benefit ofadvange. of any.and all valuation, stay, appralsement ar iomestead tremptionlawcor lawscof anystate’of The Unuted States, now'in force orTicteafter enacted.
`
`10,
`“This fnstrumont shall be binding not cbly-upowthe:-Indemnitor (orIndemmitor(s), jointly. arid/orjointly.and severally),but-oswellupon thacheirs, executors, adminisiralors,.
`successuns and assigns oftiie Indemnitor{e).
`’
`
`
`Vk.
`The Conspanyreserves therighttodeeling to issue.the bond for, which-apptication isherebytnade, and.no-claimeshdll be madc.againstthe Companyas.aconsequeace of
`Jats Gilure io exceuta such Bond; nor shdllady claimbemsde btcasythe.bond, ifexecuted, be not acceptedby.ofon behalfofthe obliges.
`
`
`12.
`The Indenmitor{a)-herebywarraan{s)
`{jthaCthe foregoing declaratious made. and answers givenare thetruth withoutreservation and-are. madefor the purpose. of including
`the Companyto become surety orto procure siretyship on the beador uridertaking applied forhertin, with the intent and-pucpose thar theybéfolly relied on.
`
`13,
`The Companyshall not be first obliged
`to proceed against.the Principal(s) on any such bond or undertaking before Having recourse againstthe Widemnilonsjar any df
`
`+ theny,the Inderanftor(s) bereby. expressly
`wa
`thebenefit orany Jawrequiring tht Company to. make claim upon-er proceed or enforce its remeiliesagainst the Principals)
`
`| before making deunand upon or proceedingand/orviilorvingits. remediés agninst_anyIndetnnitor,
`tf
`
`
`
`
`14, The acceplance ofthis Agreement and'ofthe:Titkeranitor(s) agreementlo pay premiums on the execution ged:oa. the Continuanceofsaldhond(s) on wadenaking’s}, aadéor
`
`
`the acceptanceuf any: tine Bythe Companyaf theothercollateral security.or agreement, shall notin any wayabridge. orlimit theright
`Company-tocbe. subsugated18 aby
`
`
`sjghlar. comedy, arlimit any rightortemedy whieh theCampany may, otherwise have, avqnire, exercise. or enforce under-this arany
`aller agreement-or bylay allowed,andthe
`
`Company: shall hiavi.overy dghtandremedywhichai individual surety. acting withouteompensationswould-have,.ell suvh rghls being construedta-be commutative and for the
`
`
`:
`solebenef
`§ Succesaurs and/orits assigns.
`
`18
`[Panyprovision.
`s.of this Instrument be-void or unenforceable underthe lews of any place govermng-is coustruction or enforcement;this. fasirument shall not
`
`
`
`bavoid’oryittaled
`thereby. but-shall-be.construcd.and enforced with the same effec! as thoughsuch provision or provi:
`
`
`16
`In-makingapplicution forthe hereiaubuve describedBail Bond(s) we warrant all. of the statements made-on-thiy instramentto be teae and we agred to advise the
`|
`
`
`
`‘Companyor rts agent.oPany change (inchiding but
`not Nmitedto change of address andor phone numbery}withia 4% hours after sucli.
`changehas:occurredand agree thal any
`
`
`
`falluredtoso.notify, shall be conse forthejmmediatestrrenderolthedefendent-witheut anylability forthe return ofanypart ofthe proniiu:
`
`
`THE PREMIUM PAID ONTHIS BOND ISNOTRETURNABLE
`
`
`TESTIMONY WHEREOF we have hereuntoset uur hand and affixed aurseals
`25 day of_Fuad
`20k:
`Lhave rend and badeSplainedto me and-understandthe following terms:andconditions ofFreedomBail-Bonds, LLC (iaveinabarcaodThe Company) crecutingthe eboxe
`listed Sunity Bail Bonds on-my behalf
`1,
`The Gompany: shallhave conto! andjurisdiction over me‘during the term for whichmybail bond(s}isexecuted. andshall havethe rightto apprehend and.surrender me
`
`tosis.properofficials akanyUnie toyviolitiewor myball bondis} obligations to-the Cowt ond TheCompanyas provided by
`law.
`2,
`Hrisamderstond and agreedthattany.oneofthe following xctions by mevshall.constitate a breach ofmyobligaiions to The Conigany: and that"The Company. aniVorits
`Agent shall-Rave the right fo forthwith apprehend. andsurrender-me-in.exoneration-of my ballbond(s)}i
`Be
`‘UfLdypartthejorisdiviion ofthe Court without the written cotisent ortheCourt andTheCompany,-orits Agent:
`b:
`IF] shall move for one address: to anotherior changemy phone numberwithout sotifving The Company, and‘or ils Ageat.
`
`: If] commil anyact, Which shall constitutereasonable evidence ofmy-intenilon-io cause.a+forfeitureofiy.bailband(sy.
`IEDiva arrested analincarceralad for any. offense otherthan aminortraffie violation.
`IfTmake.any matcrial filse stutement-inmyBail Bond Application-and Goniractwith‘TheCompany.
`18] fail40 meet any
`financial obligation(s) penainingto-premtium on my Bail BondApplication and Contractwith TheCompany
`
`
`TfTdeparethejuri
`3.
`honor oftheCourt whervin
`ail bonds) [5 posted by The.Company for anyreason,and Fant captured by The.Companydadorits Agent, or any
`
`otherlasenforvement agen
`
`a.Stale other ton the on
`hich myball hond(s} iz posted,Théreby-agree to vojunlagily retara to thie StateoLoriginalyunsdietion, and Thereby
`
`and further.
`conseattothe application af such reasonable foreesas mayhe necessaryto effect stich stun:
`nyaive extradition proceedings:
`
`
`and ell rights] may have under Tithe 29-Privacy.Act -Freedom ofInfarmatlon Act, Titleé, 1UPPA, FairCredit Reporting Act, andany: such local or
`4.
`Unereby waive any
`SlateJaw.Loonscnt to-and authorizeTheCompuny,dndorits Agent, to,obiain anyand-al} private-orpublic informathadandor ecards conceming-me frum.anypartyor. agency,
`
`private orgovernmental (localStole, Feceril),includingbut sor timited-lo-Social SecurityReeonfs, criminal records, Prisan-records, civilrecords,Courtrecords, drivingrecords,
`telephone.rccords, Loxpilal and.medical revords, sehool Fecords, wurkers conipsnsilion.records, employment records, Tauthorize withoutreservation,anyparty.oragenwy, private.
`‘or govtramental (het, State, Federal)
`onty fisd by The Company,and/orits Agent, to
`henik
`allprivate and public information and recerds tn their possession
`
`
`:
`INDEMNITGRonea
`
`INDEMSITORNAME, SIGNATURE,
`
`
`INDEMNJTOR-NAME,
`SIGNATURE_
`
`20.
`y BEFORE ME-PERSONALLY APPEARED,
`
`TNR
`
`TO ME THE PERSUIT{
`
`
`
`
`“see TH
`ED TO ME THAT HEHom
`
`
`
`
`
`
`™
`
`,
`
`—_
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`

`

`
`
`CONNECTICUT BAIL BONDS GROUP
`11 ASYLUM STREET,SUITE 512
`HARTFORD, CT 06108
`|
`|
`(860)420-22.45(203)6623-3338
`
`PAYMENT PROCESSORNOELLE 860-414-5010ReceiptNumber[A
`NOTICE TO COSIGNER ““=s#88v
`| UNDERSTAND THAT | AMSIGNINGFORA BAIL. BONDANDOBTAINING THE RELEASE FROM
`
`CUSTODY DEFENDANT NAME:CSEVEP? (OTAGO|. FOR.ABOND.OR BONDSIN THE
`AMOUNTOF 8 203|¢=a kK”
`|
`_|AM RESPONSIBLEFOR THE FOLLOWINGTERMS:
`
`
`« THE DEFENDANT APPEARINGIN COURT EVERYTIME THEYARE SO ORDERED.
`« Paymentofunpaid premium ifthe defendantfailsor is unable.to pay.
`|-give
`e
`{f forfeitureoccurs| understandthere is a minimum $50.00 feetocreate thefile.
`Connecticut BailBondsGroup, LLCorits.agents the tight to search for the-defendantin any
`residence ofmine or place of residence known to be-occupied by me. [amfurther responsiblefor
`any expensesincurredifitbecomes necessary to apprehendand:surrender the defendantto-the
`court,
`In theevent of a bondforfeiture wherethe defendant is not returned tothecourtfor any treason,
`including. depertation within thetime.prescribed by law,I'willpay the full amount ofthe bond,
`includingunpaid premium,attorney fees, court costs,interest, and investigation fees.
`* Paymentofanyand all costsincurredas. aresult of the Defendant's nonappearanceor ifthey fail
`to follow all instructions or if Court forfeits the bond for any reason.
`*
`| will informConnecticut BailBondsGroup, LLC within5days of anyandall eeeeaSagaress
`and/ortelephonenumbersfor any andall cosigners as well as the defendant. X [02.D-C.
`ONCETHE BOND(S) ARE POSTED, THE PREMIUMIS NOTREFUNDABLE
`
`
`
`°
`
`
`
`| AGREE TO FULFILL ALL
`| HAVE.READ: AND| UNDERSTAND. AND AGREE WITH THE PROVISIONSSET FORTH,
`OBLIGATIONSTO THEM. |FURTHERAFFIRM AND ATTESTTHAT WITHOUT ‘COERCION,|,AS A DULY DESIGNATED
`REPRESENTATIVE OF THE DEFENDANT AUTHORIZE ANY LICENSED AGENT EMPLOYED BY GONNECTIGUT BAIL
`BONDS GROUP,LLC TO BEGIN THE BAIL PROCESS ANDEXECUTE THE BOND(S) ON’OURBEHALF.
`Dandra Da: Colo occ mess |
`DATE “P27HE:
`
`SIGNATUREOFCOSIGNER
` COSIGNER'SNAME (7Chtdec¢
`
`SOCIALSEC#
`niO
`
`ee oe
`COSIGNER'S ADDRESS A/7).B Grove G]
`YP
`\
`;
`
`
`
`cityHMonchester
` state_G7zp(Pfpyz
`LADDRESS:
`
`FILK- 29 OF
`EMPLOYER 4CCE6S
`
`
`
`52-86 OFemp.appress: FFM
`
`
`CK. TYPE-OF ACCOUNTS SAVINGSCHECKING _ OTHER
`
`
`
`

`

`EXHIBITB
`
`

`

`To
`Steven Colorado-Diaz
`40 Grove St Apt B
`Manchester, CT, 06042
`
`Client Name: Colorado-Diaz, Steven
`
`Hartford, , CT, 06103
`
`Payment History
`Printed Date: March 20, 2023
`
`Invoice Date: 7/27/2022
`
`Invoice # 6757280
`
`Power #
`
`AS75K-2988
`
`Date
`
`7127/2022
`712712022
`9/7/2022
`
`ttem
`
`Premium
`Cash
`Authorize.net
`
`Receipt No.
`
`10578181
`10667249
`
`Charges
`
`Payments
`
`Payment Type
`
`Balance
`
`3,650.00
`
`3,650.00
`3,000.00
`650.00
`100.00
`550.00
`
`
`Totals:
`
`3,650.00
`
`3,100.00
`
`550.00
`
`Invoice Date: 7/27/2022
`
`Invoice # 6757281
`
`Power #
`
`AS75K-2993
`
`Balance
`Payment Type
`Payments
`Charges
`Receipt No.
`Item
`Date
`
`
`
`Premium 3,650.00712712022 3,650.00RaamSAETLB
`Totals:
`3,650.00
`0.00
`3,650.00
`
`