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Receipt PLANNER 1/30/2014
• • • SPRINGFIELD CITY OF SPRINGFIELD {:ax.._�.,. , 225 Fifth St `OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 TYP314-00002 wvnv.spnngfield-or.gav 2728 PHEASANT BLVD. permitcenter©spdngfield-or.gov RECEIPT NO: 386860 RECORD NO:TYP314-00002 DATE:01/30/2014 DESCRIPTION , tarfc- 1..1."C -020-1+ -:n ACCOUNT!CODErrRANS?CODE_ ;:AMOUNT:.DUE SY. 5%Technology Fee 100-00000-425605 2299 191.40 Discretionary Use-City 100-00000-425002 1239 3,828.00 Overpayment-Refunds 821-215043 821-215043 521.00 • Type 3 Postage Fee 100-00000-425505 1299 385.00 TOTAL DUE: 4,925.40 T P.AYMENTtaTYF6WAYOR'£Y&tCASHIER.STJONES .rad��COMMEN7Sar'�`�+ °°pMOUNT,PAID S Check Lexcom Development Corporation Lexcom Development 4,925.40 5298 Corporation 617 8th Avenue SO Seattle,WA 98104 $521.00 in change to be - processed as a refund and mailed to the customer. TOTAL PAID: 4,925.40 LEXCOM DEVELOPMENT CORPORATION 5298 CITY OF SPRINGFIELD 12/9/2013 EG34: Type III Discretionary Review Application Fee 4,925.40 Date Received: JAN 3 0 2014 Original Submittal_A WA Federal Checking Type Ill Discret Rvw App Fee (EG34) 4,925.40 Date Received: JAN 302014}� Original Submittal a