HomeMy WebLinkAboutRECEIPT - 06-00248 - Mom's Kandy Kitchen - Sign............ .. ........
City of Rexburg
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De Partm e nt of Co m n AY Develop me nt
M
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Number: 06-0338
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0600249
Sign
Deposit
0600249
Sign
Permit
$75.00 $75.00 $0.00
$25.00 $25.00 $0.00
Total $100.00
Total
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genprWreGeipts Page 1 of I
CLAIM FORM
VENDOR #
NAME
ADDRESS �% C7 �.
CITY, STATE, ZIP �'�K�'11,4,{'
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CfT'4 JF
REXB URG
AMERICA'S FAMILY COMMLINITY
DATE
FED ID or SS#
TELEPHONE
CLAIMAT OR HIS AGENT SIGN HE: R E