HomeMy WebLinkAboutRECEIPTS - 05-00261 - Upper Valley Vet Clinic - Sign-N.
City of Rexburk
Department of Community Development
1.9 E Main St. / Rexburg, ID. 83440
Phone (208) 359-30201 Fax (208) 359-3022
Cashier-.BETHANYC
ReQC10t Date. 07129/2005
Permit #
0500261
05 0.0261
Fee Description
Sign Deposit
Sign Permit
Receipt Numbere. 05-0.021
Paye r/Paye e Name: SIGN PRO
—. Original Fee Amount'"
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Paid Balance,
Am ount i
------------------------- J
Previous Paymertf History
Fee Description
Receipt # Receipt Date
Paym ent Check Paym e n
Method Num ber Am o u Nit
CHECK 1665 $1,00-00
Total
$100-00
genprOrrecelpts
A
$75-00
$25.00
Total:
Am o u rpt Paid
Permit#
$0.00
$0.010
Page 1 of 1
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„Y. { City of Rexburg
i
Departm e nt of Comm u Development
o f t Number: -0
19 E. Main Sit. / Rexburg, ID. 83440
Phone (208) -3020 / Fax (208) 359-3022
0500261
-0021
-002
J
Refund for a Sign Deposit
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Paym
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Receipt Fee Descripflon
07/29/2005
07/29/2005
genprntrreGeipts
Sign Deposit
Sign Permit
TSI
—$75.00 -$75.00 $0.00
Tota:
$75.00
$25.00
00261
00261
Page I of I
A
CLAIM FORM
VENDOR #
NAME
ADDRESS
2
5��
r-A;ry of
ER,ICNS F
CITY, STATE, ZIP
1
MILY COMMUNITY
r
DATE
FED ID or SS#
TELEPHONE
L.IT OR HISAGENT SIGN
CITY OF REXBURG
12 N. CENTER
REXBURG. IDAHO 83440
ACCOUNT
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NAME ,
ADDRESS ^ , , A N
GL
ACCOUNT
DESCRIPTION
AMOUNT
S'
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I
II
(IQ
DD�rt
-75I I
I
I
-jllMVL
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1
PLEASE KEEP
THANK YOU - THIS RECEIPT
TOTAL
No. - 21480 %b /
FANO BUSINM FORT 1e 632-1118 RECD BY
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