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HomeMy WebLinkAboutPermit Miscellaneous 2010-1-21 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000058 Date: 01/21/2010 2:06:5] PM Received By KLK Item Total: Check Number Authorization Batch Number Number How Received Amount Due 76,00 76,00 ] 8.24 7,60 $] 77.84 Job/Journal, Number COM2009.0 1605 COM2009-0 1605 COM2009-0] 605 COM2009-0] 605 Descriptio~ Sanitary Sewer - ] st 100 Feet Storm Sewer - 1st] 00' + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard ~.j Paid By DA VID SUCHART Amount Paid fHiJ..v(: OlZ-pE::f!...- KLK 020078 In Person Payment Total: $177.84 $177.84 dD\'8 ~~\.C- ,:>. . .. J.: : _ I :' ~: I". . .:;t ,.j. fl cReceintl Page 1 of I 1/21/2010