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Home My WebLink AboutReceipt PLANNER 5/20/2009 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "-,.rJ.lcINQf:I.'~'iij '~"III" '.1",:,. 'I All. ~ . 8i:tU . 'ty of Springfield Official Receipt JJevelopment Services Department Public Works Department Job/Journal Number DRC2009-00020 DRC2009-00020 DRC2009-00020 Payments: Type of Payment Check CreditCard Job/Journal Number DRC2009-00020 DRC2009-00020 DRC2009-00020 Payments: Type of Payment Check CreditCard cRcceintl RECEIPT #: 2200900000~00000539 Date: 05120/2009 Description CTY > 1 0 Trees Base + Per ACRE + 5% Technology Fee Postage Fee Type II - $160 Paid By SPRINGFIELD DIALYSIS LLC MATTOX L PURVIS Item Total: Check Number Authorization Received By Batch Number Number I-Jow Received tj tj 1053 In Person o 1584B In Person Payment Total: Description CTY > 1 0 Trees Base + Per ACRE + 5% Technology Fee Postage Fee Type II - $160 Paid By SPRINGFIELD DIALYSIS LLC MATTOX L PURVIS Item Total: Check Number Authorization Received By Batch Number Number How Received 1053 In Person o 1584B In Person Payment Total: tj tj r t. ,.. I; r' . Date Received: MAY 2 0 2009 Original Submittal Page I of 1 I: t9:49PM Amount Due 985.00 49.25 160.00 $1,194.25 Amount Paid $985.00 $209.25 $],194.25. Amount Due 985.00 49.25 160.00 $1,194.25 Amount Paid $985.00 $209.25 $],194.25 5/20/2009