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Receipt PLANNER 5/9/2007
.. " ," ,- ','~ ". . ; ',". l.' :.' . 225 Fiftli Street . Springfield, Or~go'ri'97477' . 541-726-3759 Phone.:. 1 ...-~, .,' ..... " .~ . .,. '". ',' " ,~: . C of Springfield Official Receipt ',. Development Services Department. . . Publi.~ 'Yorks Department ',',,' '. :-h " '-' . "" RECEIPT #: '1200700000000000545 . Date: 05/09/2007 9:42:22AM '. ~ . , Amount Due, . (1,645,50) (82,28) ($1,727.78) Job/Journal Number. ' . . DRC2007-00003 DRC2007-00003 , ,.'Description .... ..Refund - CTY 10% Final Site D ~ '. . - . . ':Refu~d - + 5% Techn?!ogy Fee. "~ ,,"~' ,. ., ,,.' ". Item Total: -. Received By Check Number. Author.ization .Batch Number' Number. :How Received '. Amount Paid . Refund: . Type of Payment . Check Refund Paid By, ',,,', ',. .. . ,tj/3474 . ~ . -,., :-, . . ,; ':R" E'f:~'~gV'::":E' ',"D' ~ ~' . ' ?~M: . '\ ' -' '- 'V1Oo=~ .' . '.. 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"~(' ..,'~.'>ct'",.,~~....}\.~)'-,....,.'/'\.<f~)f/,...,/ ",.t,?\.~/'" ",'lo/ >");),,,,/\,/~,,1,,-\./,...,>-,,'\/. "",..;.".~I /./,<...j ,,;,~., " ';,..~. -":\"/''':'~/,'':/''' ""~.(."""/.,~:,\,~/..~"'./,, ~'\.~',.\ .' cff_#,,(., '" ',~ ~,.~~' , ""_,, ::' " ,. . . MCKENZIE TAYLOR CONSTRUCTION ..' In Person ($1,727.78) ,;. " . Refund Total: ($1,727.78) .t.., .'".., .r,' -", .'.'. '"-':-, "....'\;." ., .,".,. , ." .-- '. , ,.'. ,< ':;' , ~: . c ..r. ,';,. ( - " , ,. . '.' i . '~~Uv.u.)CL..V '-r.,VZX~' ....~~~~qA~l~...~.~.~ ..;tvrvtd~~ P ~ - ~t0'U .-JUU).vM...'--f::~-^-----u.MU<-:-cL, . 0~a1Lkc~ ~ ~~~ ~'dJ C~ "~~.'Jvuy.;~'.vl1IL~. .' .... · '.' . , . . . '. .. CitVL:Lt~' /Y<c~~~ Jl~O', 1107 '. . , . ' .~dLw-~ ~'- /'i1.L&vru-U~ ().,..p.. . _ 0 I;~~ ~~--hJ:~~--;<-.. . '01':$')o!O~' . '.-/7" . . . ':V'- cReceintJ '. Page 1 of 1 5/9/2007 , 22'5 Fift~ Street .Springfield, Oregon 97477.' 5417726-3759 Phone " ',.I., '. ,.:,' '-',. ,.0' '" ,.n.. '. ,c 'of Springfield Offitiili Receipt Deyelopment Services Department .' " Public Works Department' .RECEIPT #: '.1200700000000000544 ' '. 'Dat~: 05/0912007 9:26:03AM . Job/Journal Number DRC2007-00003' , DRC2007-00003 Descript.ion _ '.' CTY, 10% Final Site Dev Agrmhi .. .....+ 5% Technology Fee .j " .~" ..." '".':r','l' ,. .... Amount Due . 1,645,50 82,28 ' , $1,727.78 .;'~.,'item Total: ' Payments: Type of Payment Check: . , Paid By MCKENZIE TAYLOR .' CONSTRUCTION ': '- >" -Received By tj Check Number _, Authorization Batch Number (, N!lmber How Received "'Amount Paid 3474, ';;' In Person $1,727.78 ..' ..... ",-,",-~ < d_; " '.., ";-',:'" " '>.';'4"" '.Payment Total: $1,727.78 ~. -. .." "," ....".... ' ....,. , .'~' .:', " " ",' , ,. L ,; .', 'ii' ,;;.\ " '. d" .. ,,'\: , : ;', ' .... .': .'-". ....'.. " -, ,.~' ", " ~. ,,~'-: ,; ,'. ,~.. J ,'_ '." :"i"" ""J ...,...., '.. 8t"~:~(~~~~~~'~;~),;:<.,~~,~i.><?;/.:,.~;J:;;~>':~~;<:<,>,;~:~f:;;~~ .~~~'.~~;'< ~;~,~;,..),,/::~;:;,,~!1/. 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