HomeMy WebLinkAboutRECEIPTS - 06-00028 - Arbor Cove - SignCLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
1' ,1M , "r.
--�Y OF
REXBURG
AMERICA'S FAMILY COMMUNITY
DATE
FED ID or SS#
TELEPHONE 345L LA61-3
DESCRIPTION
CODE
AMOUNT
APPROVED
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REX6URG City of Rexburg ln/
Department of Community Development Receipt Number. 06-0026
19 E Main St. / Rexburg, D. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
�ceipt Date: 01M8/2006 Cashier:JANELLH Payer/Payee Name: STONEGATEREKBl1RG LLC ETAL
Permit #
0600028
0600028
Receipt #
Payment
Method
CHECK
Fee Description
Sign Deposit
Sign Permit
Previous Payment History
Receipt Date
Fee Description
Check
Payment
Number
Amount
9999
$ 100.00
Total $100.00
Original Fee Amount
Amount Paid
$75.00 $75.00 $0.00
$25.00 $25.00 $0.00
Total: $100.00
Amount Paid Permit#
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