HomeMy WebLinkAboutRECEIPT - 05-00262 - Today's Eye Care - SignCI I y 0.1
kEXBURG
AW Ak7N."t i AV!: j k 3 I I
City of Rexburg
Department Of Com m un ity De ve lopm e nt
19 E. Main St. I Rexburg, ID. 83440
Phone (2f38) 359-3020 / Fax (208) 359-3022
Receipt Date: 07/29/2005
Perm it #
05 00262
0500262
.... Cas h ie r: 13ETHANyC Paye r/Paye e Name: SIGN PRO
Receipt Number: 05-0022
...... . ... . ...... . .......
Fee Description Original Fee ,.mount Fe
. ...... Am ount Paid Balance
Sign Permit $75.00 $75.00 $0.00
$2s.00 $25.00 $0.00
Total,it
$100-00
Pf e1/►t?G1S Payment History
Receipt # Receipt Date
Fee. Description
Payment Check
Paym e n'
Method Num be r
i � �. — ..—� ---.�._� Am ou t
CHECK
1665 $100-00
Total $100.00
genpmtrreceipts
Amount Paid Pe rmit #
FY U - ir. 14 1 J
OAHO SUSN ES5 FORMS - 1-800- 2-14513 R ECD BY
-An
562-27