HomeMy WebLinkAboutRECEIPT - 04-00310 - Black - 336 W 3rd S - Dorm Housing MDR1crtror
REXBURG
City of Rexburg
Department of Community Development
19 E. Main St. I Rexburg, ID. 83440
Phone (208) 359-30201 Fax (208) 359-3022
Receipt Date: 08124/2004 Cashier:CATHYW
Permit#
Fee Description
I
0400310
Conditional Use Permit
01-3;
0400310
Public Hearing Notice Fee
01.3:
Previous Payment Histc
Receipt #
Receipt Date
Fee Description _
S
L
Payment
Payment
Check
Method
Number
Amount)
I
CHECK
1003
$450.00
i
Total
$ 450.00
CITY OF REXBURG
12 N. CENTER
REXBURG, IDAHO 83440
ACCOUNT
DATE
NAME
/
1'^
W111
ADDRESS/
3
S
L
ACCOUNT
DESCRIPTION
AMOUNT
I
i
I
00I
I
PAID
I
I
. i<i 4a
THANK YOU. A
CEIPT
No. 18572 \6b V/
IDAHO BUSINESS FORMS. LBW63T458 RECD BY..
40358
PAID
AUG 2 7 2004
CITY OF REXBURG
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