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Receipt PLANNER 5/1/2013
• • - SPRINGFIELD CITY OF SPRINGFIELD i., 225 Firth St ` `'�R'E� ' TRANSACTION RECEIPT SpnngfielSOR 97477 541-726-3753 TYP113-00010 wwwspdngfield-ocgov 1501 MOHAWK BLVD ` permitcenter©spnngfield-or.gov RECEIPT NO: 384054 RECORD NO:TYP113-00010 DATE:05/01/2013 iolf ACCOUNTTCODE/TRANS CODE W =TI AMOUNT-DUEF''x 5%Technology Fee 100-00000-425605 2299 - 36.30 Minimum Development Standards-Minor-City 100-00000-425002 1213 726.00 TOTAL DUE: 762.30 - AYMENL*-TPL PAYOR rgIi ER?2T.rONes COMMENTS .AMOUNTgPAID Check Fluke Enterprises Corp dba mohawk Inn Tavern 762.30 8979 PO box 214 Springfield, OR 97477 TOTAL PAID: 762.30 • Date Received: MAY 012013 Original Submittal