HomeMy WebLinkAboutReceipt PLANNER 11/10/2009
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number" .
DRC2009-00041 ;;r,
DRC2009-00041
Payments:
Type of Payment
Check
cReceintl
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:' RECEIPT#:
~esc-ription
"',CTY Site ,Pi,an', Minor Mod
,+ 5% Technology Fee
Paid By ',' ','
"JERRY'S HOME,'- ',-.;
.IMP,ROVEMENT CENTER
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''Y of Springfield Official Receipt
uevelopment Services Department
Public Works Department
3200900000000000747
Date: 11/10/2009
8:28:06AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 267567 In Person
Amount Due
1,241.00
62,05
$] ,303,05
Amount Paid
$1,303.05
Payment Total:
$1,303,05
Date Received:
NOV 1 0 2009
Onginal Submittal
Page I of I
11110/2009