HomeMy WebLinkAboutRECEIPT - 05-00144 - TMobile - Sign4b ICM Cf7
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-EXBURG
JON. flomN
City of Rexburg
Departm e nt Of Community De ve lopm e nt
M
19 E. Main St- / Rexburg, ID. 83440
Phone (208) 35g-30241 Fax (208) 359-3022
Receipt Date. 05/17/2005
Permit #
0500144
0500144
Receipt #
Fee Description
Sign Permit
Sign Deposit
Receipt Date
(Payrn e nt Check
Method Num beer
CHECK 4288
t% =0 Emmr
Receipt Number -
ruA 1M T te y y e Name: EVANS, JEFF
100000000442
Tran
Original Fee
Amount
Fee
Code
Amount
Paid
Bala.nce
01-322-20
01-322.20
Previous Payment History
Total
dee Descri tion
Payrn e nt
Amount
$100.00
$25.00
$75.00
Totall:
$25.00
$75.00
A un
ai
ermit
1 11 U . to" U t 4 V�
IDAHO BUSINESS FORMS - I -OW-632-1458 RECD BY
56227
age 1 of 1
IT OF
City E
_ fRexburg
De par tm a nt of Com m un'Ity Deere to gin e rpt
19 E. Main S#. 1 Rexburg, !D, 83440
Phone (2a8) 359-3020 !fax (208) 359-3022
PERMIT APPLICATION INVOICE
Applicant: EVANS, JEFF Site Address: 383 S 2ND W
300 S WOODRUFF AVE REXBURG, ID 83440
IDAHO FALLS, ID 83401
The following fee amounts for this armit application are unpaid
Total: $0
Page 1 of I
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City of Rexburg
Department Of Community Deve lopm e nt
19 E. Main St. !Rexburg, [D. 83440
Rone (208) 359-3D201 Fax (208) 359-3022
ReceiptNumber
Receipt Date: 05117/2005
Cashier: BETHANYC Paye riPaye e Names EVA NS, JEFF
Perm It #
0500144
0500144
Receipt #
Fee Description
Sign Perm It
Sign Deposit
Receipt Date
Tran
Code
Original Fee
Am ount
Am ount
Paid
n i i j7 n
0
01-322.20
Prevr'oUs Pay Ment History,
rhL
Fee Desewtion
!:Payment
Check
Payrn e rpt
'Method Number Am ount
CHECK 4288 $100-00
Total
$75.00
Total:
Amount Paid
�)Zb.uu
$75.00
loom000b442
Permit #
Fe e
Balance '
06���
47I
t r I e rn e: Ma v ! 1 18. 2005
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FAX i'RANSidli'T,4L FORM
P.O. Bmc 2W
a
� � 93440
-Pacre: (209) 359-3020 FAX .
FAX- CM35
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