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Receipt PLANNER 5/4/2021
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-21-000099-TYP2 IVR Number: 811037560417 Receipt Number: 478964 Receipt Date: 5/4/21 hftp:lN .spmpWd .goWOwlCwWDe WmentDlvsion him Worksite address: 287 DEADMOND FERRY R0, Springfield, OR 97477 Parcel: 1703154001800 Transaction date 5/4/21 Fees Paid Account code 100-00000.425002-1039 urits Description 9.00 Qty Type ll- Tree Fellin g Perm it - Cly& 96 E Broadway UGB, 6 to 10 trees - enter # of trees 1.00 Ea Type ll- Tree Felling Permit -Cky& Payment Method: Credit card Payer: Haley Campbell UGB, Postage 1.00 Automatic ..................................................... Technology Fee City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterillspri ngfield-or.gov Fee amount $1,445.00 100-00000.4255051039 $1911.00 Paid amount $1,445.00 $190.00 204-00000.4256050000_____ $72.25 _$72.25 ....................................................................... Payment Method: Check number: 210763 Payer: Summit Bank Payment Amount: $1,407.25 Transaction Comment: Summa Bank Cashiers Check 96 E Broadway Eugene, Or97401 Payment Method: Credit card Payer: Haley Campbell Payment Amount: $300.00 authorization: 03625G Transaction Comment: Haley Campbell Satre Group Cashier: Shannon Morris Receipt Total: $1,707.25 Rimed 514121 1:19 pm Pagel 91 FIN TransaclonReceplyr