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HomeMy WebLinkAboutRECEIPTS - 06-00032 - Brookside Village - Sign01 CLAIM FORM VENDOR # II NAME efy LLC, ADDRESS Z�JgjJ rj . Zill1yVr u CITY, STATE, ZIP 9,Q ,'A, I'�� j {l�� CL,, / OF REXBURG AMERICNS FAMILY COMMUNITY DATETj� FED ID or SS# TELEPHONE ] On -�OM'j DESCRIPTION CODE AMOUNT APPROVED 4 m�� Olo no 32 . � 2 CLAIMANT OWAS AGENT SIGN HERE V T r 1\i t\LJ�1\l.! �City of Rexburg ,� •--. :- — Department of Commu�,� Receipt Number. 06-0257Deveiopment 1� 19 E Main St. / Rexburg, iD. 83440 Phone (208) 359-30201 Fax (208) 359-3022 Receipt Date 04/2112006 Cashier:EMIL.YA Payer/Payee,*:Name: ST-ONEGATEREKBURG LLC ETAL Original Fee Amount Permit # : fee Description Amount Paid 0600032 Refund for a Sign Deposit-$75.00-$75.00 Total: —-$75.00 Previous Payment Hk Receipt # Receipt Date Fee Description t 06-0030 01/1812006 Sign Deposit {I 06-0030 01/18/2006 Sign Permit f Payment -- Check Paymen Method Number Anou t I CHECK 6043 -$ 75.00 Total-$75.00 tort' Amount Paid $75.00 $25.00 Permit # 0600032 0600032 Fee Balance $0.00 genpmtrreceipts Page 1 of 1 RE URG City of Rexburg : Department of Community Development Receipt Number06-0030 19 E Mein St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208) 359-3022 Receipt Date: 01/1812006 Cashier.JANELLH Payer/Payee Name: STONEGATEREXBURG LLC ErAL 'ermit# Fee Description 600032 Sign Deposit 600032 Sign Permit Previous Payment History Receipt # Receipt Date Fee Description Payment Check Paymen Method Number Amou t CHECK 9999 $ 100.00 Total $100.00 Amount Original Fee Amount Paid $75.00 $75.00 $25.00 $25.00 Total: $100.00 Amount Paid Permit # Feel lance) $0.00 $0.00 genpmtrreceipts Page 1 of 1