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Home My WebLink AboutRECEIPTS - 06-00033 - Georgetown - SignCLAIM FORM VENDOR # NAME OVA ADDRESS 1!12S W. P,0. /, /X • i CIT�wOF R.EXB u RG AMERICAS FAMILY COMMUNITY DATE ; jv4I p (Q FED ID or SS# TELEPHONE -Ion :::�� i DESCRIPTION CODE AMOUNT APPROVED ----- --- -- - --- -- - -- - - - -- ------ CLAIMAhtAFi HIS AGENT SIGN HERE REXBURG City of Rexburg N '— Department of Community Development Receipt Number: 06-0031 19 E Main St. / Rexburg, D. 83440 Phone (208) 359-3020 / Fax (208) 359-3022 Date: 01/18/2006 Cashier:JANELLH Payer/Payee Name: STONEGATEREXBURG LLC EMIL Receipt Original Fee Amount Fe Permit# Fee Description Amount Paid Balance 0600033 Sign Deposit $75.00 $75.00 $0.00 0600033 Sign Permit $25.00 $25.00 $0.00 Total: $100.00 Previous Payment History u 'Receipt# Receipt Date Fee Description Amount Paid Permit# Payment Check Payment Method Number Amount CHECK 9999 $ 100.00 Total $100.00 genpntrreceipts Page 1 of 1