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HomeMy WebLinkAboutPermit Plumbing 2007-05-15225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'' 'cf Springfield Official Receipt L-+lopment Services Department Public Works Department RECEIPT #: 1200700000000000577 Date: 0511512007 t2:0e:26PM Job/Journal Number coM2006-01016 coM2006-010r6 coM2006-01016 coM2006-01016 Description Water Line - lst 50 Feet + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 45.00 2.25 3.60 4.50 Item Total:$55.35 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check RAINBOW VALLEY jmp 6155 In Person Payment Total: $55.35 -ffi cReceint I t11 *rh ,s/ Page I of I 511512007 tfrr... , il Yofl InC In t! rUri tnilnlrlllrilir. f, ,r,tl iil tj',, !.J i. t i q' t lillr,$tr'.i& i;*:itil"*I NOV- L?-86 aa:53 AH 7 1r -69. a2J59 oEo {llrot grcl#oolf21 Addrmr Phont 541-'3-198 Jet lddrs.Phonr .- _..._..lls,[ rNvotcE . P 5149 P-a2 i t4s- al? Cfready Roofer & Th ompson 'ep Llscnrcd . Eofldtd r lmurcd_ (5er174&,4221 aB€oe Efint Era Rcrd, gprlnglldd, OF g7d70 3tt3-?110sf -oC, i I i .t. I I I EEFI rc TAS _pgE!I!gu__- Frrh I ,.tlll :l l',1 Drolh ..__.'I_o^mr FM.l a.Jr tm^ I rk., a.M t !'l I I I I I I t I I I \ lqt/tbi lbq,!Fl1 tll l(lunll ueudEqS.'Jlln0il (psaH Bt'i r{ qnt'i,st,'it