HomeMy WebLinkAboutReceipt PLANNER 11/18/2009
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001305
Date: 11/18/2009
9:27:00AM
Paid By
Item Total:
Check Number Authorizat!on
Received By Batch Number Number How. Received
Amount Due
1,020.00
51.00
$1,071.00
Job/Journal Number
DRC20'09-00045
DRC2009-00045
Description
CTY Drinking Water Protection
+ 5% Technology Fee
Payments:
Type of Payment
Check
Amount Paid
SPRINGFIELD DIALYSIS LLC emm
1079
In Person
Payment Total:
$1,071.00
$],071.00
Date Received:
NOV 1 B 2009
Original Submittal
cReceintl
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11/18/2009