HomeMy WebLinkAboutEXCAVATION PERMIT 23-00964CLAIM FORM
VENDOR #
VENDOR NAME
ADDRESS
CITY, STATE, ZIP
PHONE NUMBER
10. 'f9 CITY OF
REXBURG
America's Family Community
DATE
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CC APPROVAL
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DESCRIPTION
ACCT#
ACCT DESCRIPTION
AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
1/30/25, 10:51 AM Xpress Bill Pay -Transaction Details
Transaction Details
City of Rexburg
RMURG 35 N 1st East I PO Box 280
Rexburg, ID 83440
XBP Confirmation Number: 161309939
Transaction detail for payment to City of Rexburg.Date: 12/2012023-1:57:26 PM MT'
Transaction Number: 209969875
Mastercard — XXXX-XXXX-XXXX-7333
Status: Successful
Account# Item Quantity Item Amount
23-00964 Excavation Permit Deposit 1 $1000.00
23-00964 Excavation Permit Fee 1 $200.00
TOTAL: $1200.00
Billing Information
John Ford Transaction taken by: Rexburg Production
4091 E 600 N
Rigby, ID 83442
ahspermits@gmail.com
Email v ahspermits@gmail.com
https://secure.xpressbillpay.com/common/trans_details.php?tmns_id=MTU1 NTY3NzM 1 &conf_num=MTYxMzA5OTM5 1 /1