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RECEIPT 1 - 19-00158 - 121 E Main St - Port of Subs - Build-Out
4/22/2019 Xpress Bill Pay-Payment Processing esu City of Rexburg ' ' — 35 N 1st East I PO Box 280 Rexburg,ID 83440 inn o: , 208-359-3020 ub@rexburg.org XBP Confirmation Number: 60060494 tw Transaction detail for payment to City of Rexburg. Date: 04/22/2019-1:59:20 PM Transaction Number: 103637649PT Visa—XXXX-XXXX-XXXX-1140 Status: Successful Accou.nt. ....a.e .......e, .......e, ......e.. ........e .......e, ......... e.e .......e. . . ..,.. . ......e .......e,......... # Item Quantity Item Amount Building Permit 1 $100.00 Notes: Permit- 19-00158 'TO TA L: $100.00 Billing Information Transaction taken by:shaunae Cory Sorensen ,83440 glasscreekbuilders@gmail.com https://secure.xpressbiIIpay.com/common/payment_process.php 1/1