HomeMy WebLinkAboutRECEIPTS - 06-00036 - Birchwood 1 & 2 - SignCLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
I I �
--Y OF
REXBUR�
AMERICA'S FAMILY COMMUNITY
DATE 0 1 I ,/ VW
FED ID or SS#
TELEPHONE �3i5Ce- l09q ✓
DESCRIPTION
CODE
AMOUNT
APPROVED
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REXBURC City of Rexburg 'vw' 1%001
Department of Community Development Receipt Number: 06-0034
19 E Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Date: 0111812006 Cashier.JANELLH
FPermit# Fee Description
0600036 Sign Deposit
0600036 Sign Permit
Payer/Payee Name: STONEGATEREI(BURG LLC ETAL
Original Fee Amount Fee
Amount Paid Balance
$75.00 $75.00 $0.00
$25.00 $25.00 $0.00
Total: $100.00
Previous Payment History
Receipt# Receipt Date Fee Description Amount Paid Permit#
Payment
Check
Paymen
Method
Number
Amou t
CHECK
9999
$ 100.00
Total $100.00
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