HomeMy WebLinkAboutRECEIPT - 06-00134 - The Backyard - Sign-KE j ,'T�
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City of Rexburg
De partm e nt of Comm u n L evelopment
19 E. Win 5t.1 Rexburg, ID, 83440
Phone (208) 359-3020 / Fax (208) 359-3022
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Re ce ipt Date: 03/1 6f2OO6
Perm, it
0600134
0600134
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Receipt #
1 L
Paym e nt
Method
CHECK
Cas hier: EM ILYA
Fee Description
Sign Deposit,
Sign Permit
Rece'pt Nun-ber:
W 01-67
Total: $10.0-00
1172
Total
genpntrreceipts Page I of I
CLAIM FORM
VENDOR #
NAME
CITY, STATE, ZIP
CARO q*
CIT`- DF
RExBu��
AMERICA'S FAMILY COMMUNITY
DATE
FED ID or SS#
A
TELEPHONE
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AA
CLAIMANT HIS AGENT SIGN Ha"..:RE