HomeMy WebLinkAboutRECEIPTS - 05-00377 - University Plaza - SignCITY or
CitY of Rexburg
De partm e nt Of Com m unit l e nt
19 E. Win St. I Rexburg, IR 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Number-,
U5 00377 Sign Deposit
0500377 Sign Permit $75.00
$25.00
Total:
genprntrre-ceipts
$75.00
$25.00
$100.00
I
Fbge I of I
$0.00
$0.00
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City of Rexburg
Department Of COM M L Development
M boo
19 E Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 1 Fax (2(]8) 359-3022
,.,'Receipt Date: 03/03/2006 Cashier: EVHLYA
Verm it 9
Fee Description
0500377 Refund for a Sign Deposit
Receipt Number: 06-0-138
Payer/Payee Name: EPJCKSON NBL & ERJC
05-0151 10/0712005 sign Deposit
05-0151 10/07,12005 Sign Permit
Paym e nt Che ck
Method hum ber
CHEC K 5558
Total
genpmtrrecerpt
s
Payment
Am ount
-$75.00
Amount Paid Permit #
$75.00
050-0377
0500377
Page I of I
CLAIM FORM
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
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CITY
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DATE 69` � I L
FED ID or SS#
TELEPHONE
CLAIMANT OR HIS
AGENT SIGN HER