HomeMy WebLinkAboutRECEIPT - 05-00157 - Teton Oncology - SignsMy OF
REXBUR-G
. WRKAN F.m7 :i C.OmvuNITY
City of Rexburg
De
p rtment f Community Development
Receipt Number: �
19 E_ Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
x
k
Cashier': BETHANYC Pa4. DICKSON,Y. DANE
00157
00157
Sign Permit
Sign Deposit
1-322..20
01-322.20
$75.00
Total:
$25.0(3
$75.00
$100.00
Paym e n# .
Method
HEC
FL
''mt.
Am o t
$100.00
Total $100`x°0
CITY OF EXBURG
12 N. ENTER
REXBURG, IDAHO 83440
ACCOUNT DATE
SVA h+i E
ADDRESS
ACCOUNT
DESCRIPTION
AMOUNT
i
THANK YOU - PLEASE KEEP TOTAL
THIS RECEIPT...-.,
i
r
i
3
i
r
i
No. 20910
IDAHO BUSINESS FORMS - 7- -632-IA58
RECD B
0�pppp"_
56227
A M'__0 unt.p.1
Page 1 of 1