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HomeMy WebLinkAboutMiscellaneous PLANNER 9/15/2008 j v ~. City of Springfield Voucher Report ID: SPRA103A Voucher ID : 00139146 Handling Code: RE Accounting Date: Vendor Number: Invoice Date: Invoice # : Approver : Operator: Gross Amount: Cheney,Nicholas 1771 Balboa Street Eugene, OR 97408 Descril1.tion REFUND Account BY Terms Fund Orll Proi/Grant 425002 100 00000 . 2009 00: September/9/2008 , 0000016200 ' Augus1l1212008' DRC2008-00056 i: MOTT8504 JONE5996 ' 191.40 ' Amount 191.40 , RECEIVED SEP 15 Z008 'K~ ' By: ~<.u<LVo~ bcYL ~" Payment Message: REFUND DRC2008-00056 ~1() Kv Comments: . REFUND' Double billing of J5% Tech Fee on Discretionary Use Application Per Karen LaFleur . .225 Fifth Street "Springfield, Oregon 97477 541-726-3759 Phone ~q~,~~ii.". ""',,'., Ilk,,' ',' . . . . . . -". V~~ t&>>o i:"oy of Springfield Official Receipt bevelopment Services Department Public Works Department 4~('J()";). - I(YO - ('7~OtYl5 RECEIPT #: 2200800000000001233 Date: 08/1212008 v* r/;qllfl,t> Job/Journal Number DRC2008-00056 DRC2008-00056 DRC2008-00056 DRC2008.00056 Description CTY Discretionary Use + 5% Technology Fee . Postage Fee Type III - $385 + 5% Technology Fee Payments: Type of Payment Check Item Total: Check Number Authorization Batch Number Number How Received Received By tj Paid By, , CASHIERS (NICHOLAS A CHANEY) 20012013 In Person Payment T~tal,: ~J' . , p~ Jut)wuJ- ~ :Jt tq'.40'JtfL~. ~ !2J ~~on- UJI bR C- 200 tJi-Y-r"Y) 'Ofo ~6taL ~~ boo -: ~ I\~> ~ ICfI :40 v ~Receintl Page 1 of1 2:01:20PM Amount Du~ 3,828.00 191.40 385.00 191.40 . $4,595.80 Amount Paid $4,595.80 $4,595.80 8-l2:0~ 6;l -4 ~-' 8112/2008 ~ 'I [City of Springfield '! Development Services Department 225 Fifth Street Springfield, OR 97477 . Discretionary Use . - - Applicant Name: Fa;!!: ~;P;1 51.f1-5o}-1~fJ9 Phone:5LfI-5D/- e2lJ(Pg i~;-=l~&.~~'1_~.9-~~~:~~~. Applicant's Rep.: ;:r;;,n,"fI'er- B...<;:.nnt'IIr>~- ,tfL//-jjIJ-:.JLJ3.1 Phone: 51/- S{J/- /JfJM? I Company': &b'Bo t:;r.e. lo;;;/ng. Fax:5y/-,')o5-?!:/3!L !~~~~~~~~~?~Q:'~'ili2.'0M4~~1LE~t;f2!.r"~QL~{1!l_~1tjp~.__....~_=,,=..,_.~.._=__._ I Property Owner: A.J /cK I!heneu. '. Phone: 6'/hJ6r- F&J7 Icompanv: AliA I Fax: . VIA IAddress: _ /7'7/ . IJcJbD/LSlreef( Ew~f' {k('t)1JY.I 9FJL/IJR . ,~._~Ml_*""~;,,..-NT_~,"'K;BNWP'=~~1_~;'f5iJ1'3Y';;'fffiJi#F:.f;\o/"r~~;&;;Ii#;'nr.;";P;1";~""",~1'1."'\l"'.";"?-'Y'i~~I~.i~.jf""._i";'"_""""'''''''''%i^~"!'ig~",~",'_~,,,,:~~*,,," IASSESSOR'S MAP NO:l'7~~ ITAX LOT N~(Sl: ()lqa~ . I Property Address: ,~~ m p.; r J' ,S\-.r..,J- S'P.ri I\..~_ Ire, ()r(>'1fn.. I Size of Prope~: .~ ~. En()~c.. ..~ ~ . Acres S~uare Feet ~ 1~,~&iiJ#j1.~;"\'i_M:~friiL~tr.S~_11W"%l"w..-__~^,\%iWij{"1'fM'{N:"N~ ~_ "~%!\\lt=1',""om_"'%"'_"""_0.~,,"~_~"'~"1,,~t0i_\iLI&s;_'1'_H_?),,,,,~~,,,(,,~,c. I Description of If you' are filling in this form by hand, please attach your proposal de~cription to this application. . Proposal: ~.>a. ~~~ . I Existing Use: \ t'\...d~n~;.~C' .........\.v....r~... ~ \~ ~r.,,~....t'l C"'\\..'}.!.- I Si natures: Please si nand ri our name and date in the a ro riate ~ox on the next a e. _. II . ~ . ,-- Associated Applications: (\)Q.c.?Arb- QS03,a (":>I('~\ . Siqns:' { ~ h:, R..ccW Case No.: \')Qc.. 2(i1'\Q- ~5f.o I Date:O~/ra;.Jq, Reviewed by: -b/YZ.-..- Application Fee: $ ,:?~z...Cb Technical Fee: $ 10 I. 4 u Ipostaqe Fee: $S~c- I I !\YlJ04f~~ TOTAL FEES: ~ "q <{OJ! ' L-tD PROJECT NUMBER: YiR,S26b'0 -RK52.1 li%,mlli05lwZi\J.;.;y;2r~k~~i~_1lmhi&JiU-$iE%Wi1k$~?m~*r~~0#1ffi!;$t%1#m1Uf~&;Pt!J!JiW1''*'f~~wwm!l$l.1S1.aJJZi&l:V%~~'I1 Su..b- PY'oi-<< ~ PR..\S" Zro8-ca:>5'2..- Revised 1/1/08 Molly. Markarian 1 of 4 [,\ , 'II WaMu' Pay to the order ot: CITY OF SPRINGFIELD Citibank, N.A. - One Penn's Way - New Castle DE 19720 62-201311 2001201385 ~WASHINGTON ':"'ARI ...{ ~EL ~8D ~v M\1TUAL ~CTSCTS Aug 12, 2008 FOUR THOUSANO FIVE 'HUNDREO NINETY FIVE DOLLARS AND 80 CENTS Washington Mutual Bank DRAWER I PURCHASER COpy NON-NEGOTIABLE' 0~~~~~ A C:V . . 240 107 --_.._--_.-.--- - .~-,- ----_._..._---~-'_.. .---.--- . 3031'1401 NEW03/086810013ns ~~-Z~~~"D~i~;;\J~'<~~"'~:~:'~~' ~~~"':: T;~;::~:~~~~~~~,m'.. :t,'.,,;?;;,;I:!\>i;~}~g~::"'J~ti,jV\X\:X~;;'V~;?{%~"'"'~OLO Do~'~~;~~5;~ ~~::~;;;t~:v';~~;:E'5~~;;;,;;;~!Jj ._ ''J.~OE'f=l~JAtl,~BECK;;Lii)-'' 'I WaMu' .,.",.."'....."..,.,...'.,'oc.,.,..,.,,,.;:;' 62.2D1311 '2001201385 'i MATCH THE AMOUNT IN WORDS WITH THE AMOUNT IN NUMBERS ii '*.' ',., :" ", ",', :'" ,," ",,', ,'_ '.': .., ,. ",; :"_,_' I... .,,,.~ ",' ,;;',_."i:_:_"_. *~r, 1.. i) : .~." ,,' '... . ;, "',"WkSHINGTONI'.: n.,:.: . . . ,.- ,_, " ,'" " , F R ' U,~"" : . " . ,. ,". '. .' I';' :,MUTUAl'. ,.' ," yi:t F CTSCTS":,: * .,.' ,_;:" :C_' ,_~, ;,,,,' .'_"~"- ...;:"'_ "':';';'~'t,>-;:l~)"~F,'.i;::',\'!';'~:.:."'::-?\:?::,;::W:-'::.,:,\:;::::::,:,~,_} . Aug 12;- 2008 FOUR THOUSAND FIVE HUNDREO"NINETY "'FI VE"'O'odARS' AND 80 CENTS Pay to the order of: .' CITY OF SPRINGFIELD Cltibank, N..~. - OnaPenn's Way - New Castle DE 19720 II' 200 ~ 20 ~ :18 511' ~AWE . was.hinQton'M utual B~nk 7/ -"-::0' ~-:; A/. a&,..;- AUTHORIZED SIGNA TUW IT'J- FN'''"' r =--'"' REMITTER NICHOLAS A CHANEY 240 107 1:0:1 ~ ~OO 20'1': :18?b'1'BSII' q"A" ~.,!M! 'IN,''". "'," ' ~t.. '<'... .' .. IfIlL"".,. .- ~ - ~ .- _. .', ~- - .,-,,- '.-. 2'25 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number DRC2008-00056 DRC2008.00056 DRC2008-00056 DRC2008-00056 Payments: Type of Payment Check c.Receintl Y of Springfield Official Receipt lJevelopment Services Department Public Works Department RECEIPT #: 2200800000000001233 Date: 08/12/2008 2:01:20PM D'escription CTY Discretionary Use + 5% Technology Fee Postage Fee Type 1Il- $385 + 5% Technology Fee Amount Due 3,828.00 191.40 385.00 191.40 $4,595.80 Paid By CASHIERS (NICHOLAS A CHANEY) , Item Total: Check Number Authorization Received By Batch Number Number How Received tj 20012013 In Person $4,595.80 Amount Paid Payment Total: $4,595.80 6-l2:0~ ~J . Plui^ 0, ~wuJ- ~ ,:JttQ,.40 JtfL~~!2J 5 0 ~~on- L0-L~ DRC- 2.DotJi-cc.o5Co ~~ ~~ ~': ~ I\~ ~ I q 1:40 l ~. Date Received: AUG 1 2 2008 , Original submittal v Page I of1 8/12/2008 .... II WaMu' Pay to the order of: CITY. OF SPRINGFIELD CitibBnk, N.A. - One Penn's Way - New Castle DE 19720 Date' Received: AUG 1 2 2008 Original submittal. \ I \ I 62.20/311 2001201385 ~WASHINGTONr. . 0 ~ .M~TUAL F RFlV FIV CTSCTS Aug 12, 2008 FOUR THOUSANO FIVE HUNDRED NINETY FIVE DOLLARS AND 80 CENTS Wa.shington Mutual Bank DRAWER I PURCHASER COpy r;;MITTER NO~~OTIABLE ~ICHOLAS A C~ 240 107 .303111401 NEW03l088810Q13776 ~~~T:~~JN:~~~~~:;-t~~ 1~;~~;;;~!~~~~~~~~~~~;~T~~~~~i:~'~i:I;r.,;..;;.,~.,,;..~~.i,.;.-l.:.i.',~~..~:!ti!;'W/':~f.-t.,0.\l.,.-^.\;:.:K~.;.~~\,;~.,.!;~.:u.~f. :;"'''~:C;~o~~~;'~~;.~;~~~~7~~~~:~''::~ :/:;~~;:;'R;11:( ... . ~0,TOFFIQ1AlDiClilECK:;{7W~ ."," '. ..; II WaMu"<'" "'~~:'~~:'~:~'::::~T'IN WORDS :'I~:'~Ht~~U~~?N~~B~R~ :1 if ;~",,! ,::,' ',,'," ',:' {WASHINGiON~'" ',:::-".;."""'O,::,?:,!t,; :i : . 't;_ . {'. :~ ,'!" ,":'. './ ",.. .,' ...' ."oF' R -, ":; 'c'~T\: '. .,; .~:i:\:'::;:;:;: i' ,'. . ;,' ;' ," . h :';, .,.MIHUAt.,'" HF V ;1" IV' T$C'I'S.."i}...., ,i f.' ;;, ,".'" ..L;;.""~" /~." .:,..i ."-,,",, ..-,,~., .K.:.U~H'~;':;;:.I',"_~,~f',;:;.!~.~,.';{,:i,g:;:::;\A,.~..'t'~:,.."\t:..;:::::.:~: ~ ~I Aug '12;- 2008 FOUR THOUSAND 'FIVE HUNDREONINETY'FIVE'DOi:LARS AND'80 CENTS i: " il 6j -", 'i ,.- 1 C'. ii Pay to the order of: CITY'OF SPRINGFIELD C!tiban~, N.~. - O~e ~~~n.'S Way - New S;ast!eC!E 1 ~.720. II' 200 ~ 20 ~ 38 511' DRA'l/~Sh;ngton ~t~ Bank .<:-, ~. ';" A./..~~ AUTHORIZED SIGNATU(V' . REMITTER NICHOLAS A CHANEY 1:0 3 ~ ~OO 20"l1:. 3 8 7 b "l "l ~ 511' 240 107