HomeMy WebLinkAboutRECEIPT - 06-00296 - Magic Suds - Sign........... ..............
IV
I We
Re C
City Of Rexburg
Department of Com m L I De ve IOPM e nt
-19 E Main St. / Rex b urg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Recei NU er
WZ0106
Cashi
e
ILYA� . .... . ....... .......
.00
Payer/Payee Name: VITAL SI.GNS-M.
Fe ID Description
Per m -it.
Original F__
ee
Amount
Am ount
Paid
Rai
0600296 anc
e .
Sign Depos it
0600296 Sig n Perm it $75.00 $75moo $0 . .00
$25m00 $25.00 $0.,00
Total:
$1 00moo
Total $100-00
pA9� I
JUN 15 2006
trreceipts
Page I of 1
CLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
6g,91 �jj
IS 14
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-
CIT . JF
REXB LIRA
AMERICA'S F&MILY COMMUNITY
GATE
FED ID or SS#
TELEPHONE
1. T [SIS _ N T SIGN
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