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Receipt PLANNER 11/12/2009
; 225 Fifth Street Springfield, Oregon~97477 -,"~ '-:~'7'~- - .,. 541~726-3759 r~r,J,lj:;if;,~\X;'lf~l;j.~#~m i, r , of Springfield Official Receipt lJevelopment Services Department Public Works Department 'RECEIPT #: 3200900000000000750 Date: 11/12/2009 9:19:44AM . :.,::;/"".,c' ...~; '.-' .,'" ;,' :;;: "~".," ,;.' ; Job/Journal Number .; " Des,:nptlOn;r;;-:;i;';(.;_~..:.:', DRC2009-00042" CTY Mirtiiniin1;bey Standards DRC2009-00042 4- 5% Technology Fee , ':'LANE'COUNTY Received By emm Item Total: L'heck Number -- Authorization Batch Number Number How Received Amount Due 726,00 36.30 $762.30 , ,:~,: . ':1 Payments: Type of Payment CreditCard .. <~~~~~IB~tt:;~:':~'.~~:;::i~~~~{~t;f'!:(( : ," Amount Paid ~:':::~~;~ ~:~i;( <'t' . ",' :.~ ,:~ ;,::~',I,., ; ,;'~:" 073018 In Person Payment Total: $762,30 , $762.30 "'.,,-: ,';:;:- , ,'. .,-,1,'" ::.1 . '" , .. , ';':" , !t;":;,J ~ .. ."J,:"','.\, )~. '.1. .'" I ~l,~f:~i " :~" ''1~ ~ ~: ' ~." "'. .'" ~ _ "..;; n', .,. . . 1 r...~.... () '~~~:"~~:'~'::.~:.:,~~~~:':"'" ...... ~' . ~'~/~': . ~;i.- ..~;f,i\' . I. . .... " .ffr++.:~..~..;. '"i\ . ~ .. :,"> !~ ~ ;~. ,. .... ....ii~". "\ ; \. '. :~i"il~ f .- I",. ~ .,M' f,." r- -\' .,' \~ ;~ " ~! .... . :~! .'~ :f..'" u ~. }. ~' .;,' j: "1' . , !} ~..., ., \ '. J.t,' Date Received: , ti .. " . ,r .\; ';. NOV t 2 2009 <.J Original Submittpl " -_-f '. ,. ~; :, '. if ; ~I J , " - ~~ ,..11.;1' ,_ ,I\:. .... ;,.:.J~'h: \ . , .. . cReceintl Page 1 of 1 Ill] 2/2009 ..-,