HomeMy WebLinkAboutSTREET CUT DEPOSIT 23.00273CLAIM FORM
VENDOR #
VENDOR NAME bjreG+ C6MmUrLjLcA TE
ADDRESS M(fkl Sf. DH APPROVAL
CITY, STATE, ZIP i)Gt<IA v�� Lcl UIZ-1
PHONE NUMBER 20$ Scl R - o;23LIS CC APPROVAL
CITY OF
REXBURG
America's Family Community
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DESCRIPTION
ACCT#
ACCT DESCRIPTION
AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
City of Rexburg, ID
CUSTOMER SERVICE
PO Box 280
Rexburg, ID 83440-0280
(208)359-3020
Welcome to the City of Rexburg
000817-0002 Marianna 06/13/2023 09:12AM
MISCELLANEOUS
Description: STREET
DEPOSIT (SDEP)
STREET DEPOSIT (SDEP)
2023 Item: SDEP
1 @ 1,000.00
STREET DEPOSIT (SDEP) 1,000.00
1,000.00
Description: STREET
RENTAL AND MISC.
(SMISC)
STREET RENTAL AND MISC.
(SMISC)
2023 Item: SMISC
1 @ 200.00
STREET RENTAL AND
MISC. (SMISC) 200.00
200.00
Subtotal 1,200.00
Total 1,200.00
CHECK 1,200.00
Check Number 029271
Change due 0.00
Paid by: DIRECT COMMUNICATONS
Comments: PERMIT NUMBER 23-00273
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Thank you for your payment
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