HomeMy WebLinkAboutRECEIPT - 05-00189 - Maverick - Fuel Pump RepairP,..-EXBURG-
A%XXX'X-S1--%%ALY C%--rd&VL"1'V City of Rexburg Receipt Number: 1000000005-30
De partrn e nt of Com m un it Dewe 1 e nt
19 E. Main St. f Rexburg., ID. 83440
Phone (208) 359-3020 / Fax (2,08) 359-3022
Re ce
1Pt Date: 0711212005 Cashier. CATHYW Paye r/Paye e Nam e: L W�RD PET ROL EUM EQUI P M ENT
. ... ... ... ........
Perm it #
0500189
Tran
Original Fee
Am ount
Fee
Fee Description Code
Amount
Pard
Balance
Base F'Ire Fee
01-322.15
Previous Payment History
Receipt Re ce *1 pt DateFee Description
. ...........
...........
Payor e nt Check Payor e nt
M ethod Number Amount
CHECK 18845 $50.00
No. 21352
IDAHO BUSINM FORMS - 1-300-632-1456
R EUD 'BY
Total $50.00
-r62
-r6 227
$50.00
Total;
Amount Paid
$50.00
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CITY OF
City of Four
Departm a nt of Community Development
E. Main St. I Rexburg, ID. 83440
Phone (208) 359-0 / Fax (208) 359-3022
PERMIT APPLICATION INVOICE
Application ; 05 001 -r m it Type., EMS Construction Prnt
Project ;
Maverick Pump Repair
Applicant: LEONARD PETROLEUM EQUIPMENT OF 13,01S
PO BOX 170219
BOISE ID 83717
Site Address.
l The follow in g fee amounts for this permit ppi7 tion are unpaid t this
0
..Vw.
Invoice Date4612212005
e
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