HomeMy WebLinkAboutRECEIPTS - 06-00083 - Radiance Tanning & Salon - SignRETRG
D
City of Rexburg Receipt Number: 06-01,04
Department of Community Development
19 E. Mein St. !Rexburg, ID. $3440
Phone (2a8) 359-302i71 Fax (208) 359-3022
Re ce i pt Date: 02i2112006
Cashier: Paye r/Paye a Na
s�
Original Fee Amount Fe
Perm Fee Descfiption Amount Paid Balance
...............
00083
00083
Sign D p t
Sign Herm i#
$75-00
$25.00
Total:
$75-00
$25.00
r Payment
Method
HEC
Check
Num b r
3761
Total
Paym e nk
Am aunt
CLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
0
P
Y
C'�TY OF
AMERICA'S FAMILY COMMLI'NrrY
�X\ink
�c�_
DESCRIPTION
Liz
DATE
FED ID or SS#
TELEPHONE
CODE AMOUNT
cl
LIM.T OR HIS AGENT SEEN HERE