HomeMy WebLinkAboutRECEIPT - 05-00212 - BYUI - Fire Safety CertificationMY 0. F
G
1510OM4,
ri R
-EXBU R-
%6k-11Xr1k'C5 IVALY City of Rexburg
Department of Community Development
19 E. Main St. !Rexburg, ID, 83440
Phone (208) 3,59-30201 Fax (208) 359-3022
Receipt Number,
qo00QQQ00517`-':'
.......... .......
nntn n71n rv47in n n f14L L :11, r-ATWVW D ID
.431,11 via cly U I
Tran Original Fee
Permit # Fee Description Cade. Amount
. ........................ -- .1 ..... .
0500212 Base Fire Fee 01-322.15 $100.00
Receipt #
Payment
Method
CHECK
Receipt Date
N00 212G3
JDAHOBEM SINE SS FORMS - �-800-632-1458
Check
Number
Previous Payment History
Fee De s c r'['pt io n
.1 ........................ . ..
Paym e nt
Amount
$ 1 00.00
Total $-100.00
RECD BY
56227
Total:
Amount Paid
Amount Fee
Paid Ba Ian ce
$1 00.00 $0.00
$1 00-00
Perm it
age 1 of 1