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Receipt PLANNER 9/3/2013
• • SPRINGFIELD'""' CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT 31)9999916,0R 97477 OREGON 541-726-3753 PRE13-00026 www springfield-or.gov permitcenter @sphngfield-cr.gov RECEIPT NO: 385677 RECORD NO: PRE13-00026 - DATE:09/03/2013 DESCRIPTION,. ,r_.`' ' . . . . ...:-:1:, ;.,. t i ski#"Gtr.°' i-rT ACCOUNT-CODE/TRANS,CODE rte=L -`-AMOUNT DUE;_ Development Issues Meeting-City 100-00000-425002 1214 521.00 TOTAL DUE: 521.00 PAYMENTTYPE` , 172'PAYOR ' Xi ' ,'COMMENTS ,ta..A1 z.`.°u,.'l:Z'.AMOUNT PAID'ril 4,` :,•,"y;! Check Forest Glen Investments LLC PO Box 198 - 521.00 1175 Canyonville, OR 97417 TOTAL PAID: 521.00 Date Received: SEP 32013 Original Submittal