HomeMy WebLinkAboutRECEIPT - 05-00195 - Wasatch Electric - Fire Safety CertificationC� ICT
X U G
City of Rexburg
De
Receipt Number: partm e nt of Com m u n ity De ve lopm e rpt10000000,0508'
. ...........
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 1 Fax (208) 359-3022
Tran Original Fee Am ount
Perm ' t r tipnFe e
Code Am ount Paid Balance
0500195 Base Fire Fee 01-322.15 $100.00
$100.00 $0.00
Total: $100.00
Previous
Payment History
Receipt #
Receipt Date Fe e. Description
...... Am ount Paid Permit #
Payor e nt Che ck Paym e nt
Method
Number Am ount
CHECK 729019 100,00
Total $100.00
CITY OF�EXBURG
12 N. CENTER
REXBURG., IDAHO 83440
ACCOUNT
a.
t3
NAME
ADDRESS
ACCOUNT I DESCRIPTION
THANK YOU - PLEASE KEEP
THIS RECEIPT
N'.o. 21201
IDAHO BU-SNESS FORMS - 1 --RCO-632-145B R ECD BY
DATE
TOTAL
AMOUNT
14
56227
page 1 of 1