HomeMy WebLinkAboutRECEIPTS - 06-00136 - New York Burrito - Sign:g REPIRG,
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Department Of COMm unitY Development Receipt Number: -0256
19 E. Wfn St. / Rexburg, ID. 8344
Rona (208) 359-3020 Fax (208) 359-3022
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Re ce it [CashJ'er.mEMlLYA:'-- Paye r/P e e Nam e RON & GR
IDAHO SHOW L
Previous Payment His tory
Rece'rP t #
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Receipt Date Fee bescription Amount Paid Permit #
-1
03/30/2006
Sign
Deposit
$75.00
06-0192
03/3012006
Sign
Permit it
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0600136
page I of
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I
of Rexburg
Department f Com nn un )e ve lop m e rpt Receipt Number: 06-0192
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06 00136 Sign deposit $75.00 $75.00 $0.00
i
0600136 Sign Permit $25.00 $25.00 $A00
Total: $10 0.00
Total $100.00
n pmtr receipts`
2006
CITY QF REAoURG
Pag e 1 o I
CLAIM FORM
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NAME
ADDRESS
CITY, STATE, ZIP
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AMERICAS. FAMILY COMMUNITY
DATE H
FED ID or SS#
TELEPHONE _ �� � -'
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CLAWANT OR filS AGENT SIGN HERE