HomeMy WebLinkAboutRECEIPTS - 05-00263 - Today's Eye Care - Sign.......................
CIT'Y OF REXBURG
12 N. CENTER
REXBURG., IDAHO 83440
ACCOUNT DATE
MA.
Y
ADDRESS
1
ACCO
DIST DESCRIPTIO AMOUNT
2t�
A 6, ON44 -751
I
9
d
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a
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1
THANK YOU - PLEASE KEEP TOTAL
THIS RECEIPT
No. 21476
IDAHO BUSINESS ARMS - 1-80M32-1458 RECD
BY
56227
w
y KEXBURG
City of Rexburg
Department Of Cam m unity De velapM 0 n
19 E. Main St. !Rexburg, ID. 83440
Phone (2,08) 359-3020 1 Fay, rgnQ�
Re ce 1pt Date: 07/29/2005
Payor a nt
Method
HEC
nrript;
Fee Description
Sign Deposit
Sign Permit
Receipt Date
Check
Humber
Rec Ipt umbe r
0 -0026
Original Fee Am ount Fe
Amount Paid
Previous Payment History
Fee De - -
Payor a t
Am ou"t
100.00
Tata! $10p.00
$75.00
$75.00
$25.00
$100.00
Amount Paid
Permit
Page 1 of 1
City of Rexburg
I)epartrn e nt of CO M m u r, ,fie velopment
19 E Win 5t.1 Rexburg, 0. 83440
Phone (208) 359-3020,/ Fax (208) 359-3022
--wA
Aq� Receipt Number: 06-0136
0500263
Refund for a Sign Deposit
05-0026
05-0026
07/29/2005
07/2912005
Previous Payment History
Fee Description
Sign Deposit
Sign Permit
CHECK
Total
gen prrtr receipts
Amount Paid
$75.00
0500263
0500263
Fe e
Balance.
Page 1 of 1
M
CLAIM FORM
VENDOR #
NAME
ADDRESS
CITY:, STATE, 21P
K
`7Sl�t
CJJY OF
AMERICA'S !FAMILY COMMUNITY
DATE
FED ID or SS#
TELEPHONE
ANT OR HIS VGENT SIGN HERE