HomeMy WebLinkAboutRECIEPT 2 - 08-00604 - Plasma Collection Centers - Sign1M--
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Departm a nt of Cora rn u nity Dewe lopm a nt Receipt Number: 09-0001
19 E. Main St, I Rexburg, ICS_ 83440
Florae (20 359-3020 / Fax (208) 359-3024
i p t Date:
Permit#
01/0212009
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Cashier: EL I rel 'I
Fee Description
Sign Deposit
Sign Para it
Permit - Electrical
Paye r/Paye a Name: SIGNATURE I , L L
Original Fee
Am Dura
Arra o u n t Fe e
Paid Balance
$75.00 $0.00
$25.0(1 $0.0D
$40.00 $0.00
$140.Q0
Previous Payment History
Receipt # Receipt Date Fee Description Amount Paid
Payment Check payor e n
Method Number Arnoun
CREDIT CARD IVlA - - -_.--- $140.00
Total $140.00
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Perm it #
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