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HomeMy WebLinkAboutReceipt PWM 8/23/2007 225 FIfth ~t.reet Springfield, Oregon 97477 541-726-3759 Phone ~,,~INQFlBLD, t'i ",,,At - ~ti, j CI' f Sprmgficld OffiCIal ReceIpt De"dopment ServIces Dcpartment PublIc Works Department RECEIPT #. 2200700000000001341 Date OS/23/2007 10 40 43AM Job/Journal Number SUB2007-00039 Descnptlon ,*~~S.Fo\~le~,lh1l..;\YCoum;(@i'11YNegatl~#)1V0O'00"(ci)~::~!.'t $-26351000, ' ii!ll!..,.""'" .g~"- ."".-',.,lo...rllio,l. '"i,l,'f:?'1i! -~ .1 ~ 'mSFl@leamn~ounll'(f)nl;!Eosl(lv",#-)~JIll"OOOO ~- $2635 1000 NSF Admms(ratlve Fee NSF Cleaflng Account (Only Negative #) - 1 0000 @ $-51204500 NSF Clearing Account (Only POSItive #) - I 0000 @ $51204500 NSF Admlnstratlve Fee NSF Cleaflng Account (Only Negative #) - I 0000 @ $-6342000 NSF Clearing Account (Only Positive #) - 1 0000 @ $634 2000 NSF Admlnstratlve Fee , . .~Due~ t2;63's-10)='" ---- WRG20db't'oOO5'j" '1 "~~~O'J .2's'Q"lf~ _._-~ (5,12045) 5,12045 2500 (63420) 63420 SUB2007-00040 Payments Type of Payment Check Paid By US BANK/GAVIN BELL CASHIER CK Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received 2500 $75 00 Amount Paid kal 51846373 In Person $75 00 Payment Total $7500 r;.J2J jJCll7 Date Received -~7 Planner AL cRecemtl Page 1 of I 8/23/2007 , SPRINGFIE.LD Tl ansactlOn Log FOI Datc 08/02/2007 l Rccclpt No 2200700()()0000001229 ~I LlIle Items Job/JoUl nal Numt DRC2007-00053 DRC2007-00053 DRC2007-00053 TI an Cod 2214 1299 2299 CTY MillO! Vallance ( to 30%) Postage Fee Type II - $155 + 5% Technology Fee OC'S.C'I n..,flnn P.nmellts Mcthod Plld B\ Recclvcd Rv Check No Check J AND L ENDEAVORS emm 10318 p;~ ~~l~--...~>Ytl(~~~~~ J AND L ENDEAVORS INC DBA CRS ~e ~ 10318 MATERIALS ACCOUNT :Ii ~- _ A ~~l 96-7142/3232 .. . '~;d 1l,.;;Jl ~ 1:7_ 2 (, l'. ~ -r- 0 Y-DatEl' '..,. ~' ~ $r')r--.~l f ~ 'il .'~{L?]'"; ~ -~ I ;.....;;,...~.... I:. J fI So< '~ Pay 0 the Ord, rof " , ".-h~ Llherlylldnk 899 Peorl St Eugene Oregon 91401 (S41) 344 5424 t'( (ffr.- y- --:..>-' ~ .." ~" , aJv .-' . ,. 0 _~.t;.~ , Foe ..... M> - - 8/2112007 102042AM City of Splmgfield Dcvelopmcnt SCI vIces Dcpal tmcnt Public \VOI ks Dcpal tment Revcnuc Account No 100-00000-425002 100-00000-425505 100-00000-425605 Amount Paul $2,362 00 $155 00 $11810 Lme Itcm rotal $2,635 1 (I Aom oval # Ho>\ Rl'v_i Amount Paul In Pelson $2,635 10 $263510 P .wlllent fot.d I"- ~ ",' ~ ....' "C (1) > 8 ~ 2 ,,-, ll'ln'Klll'l1l"~t 35846/M1472161 THIS DOCUMENT HAS AN ARTifICIAl WATERMARK PRINTED ON THE BACK. THE FRONT OF ll-iE DOCUMENT HAS A MICRO-PAlNT ElOADER ABSENCE OF THESE FEATURES WILL INDICATE A COPY m~~K~~~JQ~ PAY OFFICIAL CHECK ElGIIT TIIOUSAND FOUR HUNDRED SIXTY FOUR DOLLARS AND 75 CENTS TO THE ORDER OF CITY OF SPRINGFIELD Location 13183 PURPOSE/REMITTER GAVIN R BELL/LOT ADJUSTMENT rEES Issued By MuneyGrollll Paymeru Systems loc POBox 9416 MlMeapohs MN 55480 No 518463738 DATE AUGUST 23 2007 $ 8,464 75 16-4220 1220 ~; ~ ~ ~,j -<( W (If... fICO.! C1JC ....C ~.!! CD.. f\-r( AA--t,~~ () J - AUTHORIZED SIGNATURE