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HomeMy WebLinkAboutRECEIPTS - 08-00211 - Rod & Vinyl - Sign° REXBURG City of Rexburg Department of Community Development Receipt Number: 08-0269 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208) 359-3024 genpmtrreceipts Page 1 of 1 [Receipt Date: 04/28/2008 Cashier: ELAINEM Payer/Payee Name: Signature Signs Permit# Parcel Fee Description Original Fee Amount Amount Paid Fee Balance 0800211 0800211 0800211 RPRRXB1035 RPRRXB1035 RPRRXB1035 Sign Deposit Sign Permit Permit - Electrical $75.00 $25.00 $40.00 $75.00 $25.00 $40.00 $0.00 $0.00 $0.00 Total: $140.00 Previous Payment History Receipt # Receipt Date Fee Description Amount Paid Permit # FPayment Check Number Paym e nthod Am oun CHECK 9999 $ 140.00 Total $140.00 C) o-g- genpmtrreceipts Page 1 of 1 / City p,Rexburg Department of Community Development' Receipt Number: 1eeMain St. / Rexburg, ID. onu4n Phone (208) 359-3020 / Fax (208) 359-3024 �Recelpt Date., 04/28f2008 Cashier: ELAINEM Payer/illayee Name. Signature Sign's Original Fee Amount Fee Fee Description Parcell Amount Paid, Balance 0800211 RPRRX3B1035 Sign Deposit 0800211 RPRBXB1035 Sign Permit 0800211 RPRRXB1035 Permit- Electrical ,Receipt-# Re ce ipt Date Fee Description CITY OF REXBUR8 i / PAID BY: SIGNATURE SIGNS DATE: 06/29/10 MG /0629/CNTR TIME: 10:23:31 RECEIPT NO: 149727 � 1 PZ SIGN DEPOSIT 75.00 CREDIT CARD AMOUNT -75.110 / PAYMENT -75.00 i CHANGE 0.00 ! PERMIT# 08 00211 THANK YOU AND HAVE A NICE DAY $75.00 $75.00 $0.00 $25.00 Number Amoun CHECK 9999 $140.00 Total: Total $140.00 CITY OF REXBUR8 i / PAID BY: SIGNATURE SIGNS DATE: 06/29/10 MG /0629/CNTR TIME: 10:23:31 RECEIPT NO: 149727 � 1 PZ SIGN DEPOSIT 75.00 CREDIT CARD AMOUNT -75.110 / PAYMENT -75.00 i CHANGE 0.00 ! PERMIT# 08 00211 THANK YOU AND HAVE A NICE DAY $75.00 $75.00 $0.00 $25.00 $25.00 $0.00 _ $40.00 $40'00 $0.00 Total: $140.00 �BXB �T�,� CLAIM FORM ��° rd C I TY OF o REXBURG VENDOR #sT � 4B ' America's Family Community VENDOR NAME ievict,t��.y,� DATE 2nd LINE NAME FED ID or SS# ADDRESS 3 1 �` TELEPHONE Circle CITY, STATE, ZIP �� �� �3(-/ Q! 1099 CODE: DESCRIPTION 1CODE ! I (S�j�A-0- Id .5a If -5 C13 r Corporation Product Normal 1099 Rent AMOUNT JAPPROVED1 cZ V 1- � ate© - oc) zi 1 C-0, Vim' l CLAIMANT OR HIS AGENT SIGN HERE