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Receipt PLANNER 10/8/2013
• • SPRINGFIELD - CITY OF SPRINGFIELD t� ^ 225 Fifth St OREGON TRANSACTION RECEIPT Spnneld,OR97477 541-726-3753 ANX13-00006 www.spnngfeld-or.gov 1891 HAYDEN BRIDGE RD ' permitcenter@spnngfield-or.gov RECEIPT NO: 386016 RECORD NO:ANX13-00006 DATE: 10/08/2013 �... _,. DESCRIPTION 3.' .�°�. .t. :.!�,*���c_1;�R r_r,..LO9-ACCOUNT GODFJTRi4NS CODE 1.r.7apMOUNT4DUE9 5%Technology Fee 100-00000-425605 2299 55.00 Concurrent Special District Boundary Adjustment-UGB 100-00000-425002 2272 100.00 Single-Family Dwelling on LDR<$10K—UGB 100-00000-425002 2270 1,000.00 Type 4 Postage Fee 100-00000-425505 1299 543.00 TOTAL DUE: 1,698.00 -PAY.118 TYPE PAYOR CAsEm aL .COMMENTS _ AMOUNTOPAID Credit Card Mitchell Janisse Mitchell Janisse 1,698.00 09263P 2425 34th Street Springfield, OR 97477 TOTAL PAID: 1,698.00 • Date Received: OCT -82013 Original Submittal