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