HomeMy WebLinkAboutRECEIPTS - 06-00319 - A &H CellularAlltel - Signm . -, " ' � . F%
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RG
City of Rexburg
De Partm e ntof Comm u t� Development Receipt Number: 06-0424
19 E. Main St. Rexburg, I. 83440
FIhore (208) 359-3020 / Fax (208) 359-3022
06 00319
Sign
DeposIt
$75mOO
0600319
Sign
Permit
$25.00
it #,:'f'
Receipt Dat
Payment Check
Me t.h.o.d Num b
CHECK
12857
Previous Payment Historry
Fee
iption
Descr
...........
Payr e n
Am ount
$ 100.00
Total $100.00
JUN 2 6 'L.906
CITY OF RFVPIInrz
Total:
Re c e
$75.00
$25.00
$1 00.00
-Amount Paid Perm it #
genpntrreceipts Page 1 of 1
FORM
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NAME
ADDRESS
GiTY., STATE, ZIP
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CITY OF
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DATE
FED I D or S -S#
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TELEPHONE
%C""'LAIMANT OR HIS AG -ENT SIGN HERE