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Receipt PLANNER 4/23/2020
SPRINGFIELD OREGON Transaction Receipt 811-20-000074-TYP1 IVR Number: 811078580957 Receipt Number: 474451 Receipt Date: 4/23/20 hftp:/�.sprimgWd.goWOwlCtarentDerllopmentDlvsion htm Worksite address: 1750 MAIN ST, Springfield, OR 97477 Parcel: 1703363101600 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterIfspri ngfield-or.gov Printed 4 MO 4:46 pm Pagel 91 FIN Transw6mIiecaptyr Fees Paid Transaction Units Description Account code Fee amount Paid amount date 4/23/20 1.W Fa Type l- Drinking Water Protection 1W -0W0 425002-1039 $1,242.00 $1,242.00 Overlay Disiid, City & UGS 4/23/20 1.W Automatic Technology Fee 2114-0WW-425605-WW $62.10 $62.10 Payment Method: Credit card Payer: Jayson Tums Payment Ani $1,304.10 authorization: WU4 Transaction Comment: Jayson Tums #Dvvescogroupinc.com Cashier: Shannon Morris Receipt Total: $1,304.10 Printed 4 MO 4:46 pm Pagel 91 FIN Transw6mIiecaptyr