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RECEIPT - 05-00311 - Academy Apartments - Sign
K.......... .... -EX BURG 01 NPLILM i:3 L4 City of Rexburg Deparfiin e rpt of Com m unity Deve lopm ent 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208) 359-3022 "Re ce it Date: 08/261200 5 . . . ....... ................. Receipt Number: 05 0074 Cashier:BETHANYC. Payer/Payee Name: WilcoxAcad'emy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . $75.00 $75.00 $0000 $25.00 $25.U0 $0.00 Total: $100.00 P vio re us Payment History I Receipt # Receipt Date Fee Description L - - ------ Amount Paid Pe rmit # ........... . ........... Pay -m ent Check Payment Method Number Am ount ..... ...... . ........... .......... CHECK 1092 $100.00 Total $100.00 genprWrreceipts Page 1 of 1