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Receipt PLANNER 6/8/2021
SPRINGFIELD r <.ir O GON Transaction Receipt Record ID: 811-21-000137-TYP1 IVR Number: 811839422918 Receipt Number: 479632 Receipt Date: 618121 hltp:ll w,spdngfiel4ongm/dpvfcunenloeveloMenlowsloamm Worksite address: 1110A ST, Springfield, OR 97477 Parcel: 1703354101300 Transaction Units Description date 61621 1 0017 Typel- AccessoryDwelling Unit 61821 1.00 Automatic Technology Fee City of Springfield Development and Public Works 225 Fifth Street Spdngfleld, OR 97422 541-726-3253 Fax: S41-726-3689 permltcenter0springfleld-ocgov Fees Paid Accountants Fee amount Paid amount 100-00000-425002-1039 $686.00 $886.00 204-00000-425605-0000 $44.30 $44.30 Payment Method. Credit card Payer OLGUIN TIMOTHY S Payment Amount $930.30 authorization, 316075 & BETTY GORACKE Cashier: Drew Larson Receipt Total: $930.30 Primed 616211156 am Page 1 of 1 FIN TmnsactlonRecelpt,