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Receipt Planner 8/29/2023
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-23-000198-TYP4 IVR Number: 811039995873 Receipt Number: 490207 Receipt Date: 8/29/23 h1�lNrvrv�.sPri�gfidE-rc.9o`.1EPwIC�rW De�dapm en[Dlvsi on,han Worksite address: 5230 HIGH BANKS RD, SPRINGFIELD, OR 97478 Parcel: 1702280000402 City of Springfield Office: Not Applicable Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenter@spn ngfield-or.gov Paid amount $7,447.00 ..................... $744.70 $691.00 $409.59 Payment Method: Grath card Payer: Jahn Hyland Payment Amount: $9,292.29 authorization W1513 Constmcfiou Transaction Cornment: John Hyland Conshucfion Cashier: Shannon Morris Receipt Total: $9,292.29 Pnrded: 812&2311:12 am Page 1 of 1 FIN Traneaclwn%caplyr Fees Paid Transaction Units Description Account code Fee ammmt date &29/23 1.801 Type IV- Annexation, 25 Acress>50 1013-081380.425802-1039 $7,447.80 Acress .................................. &29/23 74470 Amount _ Type IV- Annexation, special district .............................................. 100-00000.425002-1039 $744.70 boundary adjustmentsW4thdravvals- enter amount &29123 1.001 Type M - Notice Fee 100-00000.425002-1039 $691.00 &29123 .................................................................................................................... 1.00 Automatic Technology Fee 2114-00000.425605-0000 $409.69 Paid amount $7,447.00 ..................... $744.70 $691.00 $409.59 Payment Method: Grath card Payer: Jahn Hyland Payment Amount: $9,292.29 authorization W1513 Constmcfiou Transaction Cornment: John Hyland Conshucfion Cashier: Shannon Morris Receipt Total: $9,292.29 Pnrded: 812&2311:12 am Page 1 of 1 FIN Traneaclwn%caplyr