HomeMy WebLinkAboutRECEIPTS - 06-00073 - PC Medical Center - SignRMMG
Awn 'JOW& cam-noajty CitY of Rexburg
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DePartment Of Comrnunity Development
19 E. Main St. I Rexburg, ID. 83440
Phone (208) 35g -3Q201 Fax (208) 359-3022
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Receipt Date: 02115/2006 Cashier:JANELLH
Receipt Number: 06-0093
Payer/Payee Natne: SIGNATURE SIGNS, LLC
Original Fee Amount
Perm it # Fee Description
L.- . ..... Amount Paid
0600073
��s.�a $0.00
Sign
Depos.it
0600073
$100.00
Sign
Permit
Previous Payment History
Fe
I
$75.00
��s.�a $0.00
$25.00
$25.00 $0.00
Total:
$100.00
Kelcelpt Date Fee DescriptionI
Am ount Paid Perm it #
'Payor ent Check Paym e,�, n
Method Number
CHECK
W
genpmtrreceipts
ILI 111 %J LA'
9999 $100.00
Total $100.00
Page 1 of 1
CLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
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AMERICA'S FAMILY COMMUNITY
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FED ID or SS#
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CLAIMANT OR FFIS AGENT SIGN H