HomeMy WebLinkAboutPermit Building 2010-3-4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00257
ISSUED: 03/04/20]0
APPLIED: 03/01120]'0
EXPIRES: 09/04/20]0
VALUE: $ ]75,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 5757 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033306100
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -SAME AS COM2010-00099 5765 Mica
I PUBLIC IMPROVEMENTS I
F II I d Sidewalk Type:
u y mprove . :-.-....,' ,'. >
STORMW A TER TO ~e~RB AND GUTTER \:;~~~O\\rains:
~O\\ct~~\i S\\~\..\.. t.{~~~E?ll,,"(,,~:Q ,:'_ ,
\S ~E" ~UE? ()~t.U ~ _ -',"
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
HA YDEN ENTERPRISES 92208
- I BUILDING INFORMATION ~
# of Units: 1 # of Stories: 1
Primary Occupancy Gmup: R-3 H i ht ~\fllS~O to 16.00
Secondary Occupancy Group: ATTENtION: Oreg _ etR~1brYgon U1fi14t!jted Air Gas
Primary Coostruction Type follow~eS adopte a !if;tf~ll.resetforth Gas
Secondary COllstruction TypeNotificatlon Center. itII~u~\iil6f\.R 952-001-
# of Bedrooms: In OAR 9i2-001-001 cEllN?~the rules by
0090. You may obt m1i5\Jei!'tl1lldll\ll~~O~e nla
- llGlllnO th~;litl t;;;!'''RIIOn
numberJ~' ~1!3 ORMA:fIO~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
12.00- --
17.47 -"
10.13
0.00
Overl~y Dist:
# Street Trees Rqd:
------ .
,,- Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special IlIstruction:
Notes:
Description
Type of Construction
Square Footage
or Bid Amount
Paee 1 of 4
Residential
Expiration Date
07/29/2011
Phone
541-228-6935
Lot Size:
Sq Ft 1st Floor: 1,148
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport 400
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
Yes
25.50
Total:
Halldicapped:
Compact:
2
Curbside 5'
Curb and Gutter
.;,.,., ';;.,
Value
Date Calculated
'i
I;
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00257
ISSUED: 03/04/2010
APPLIED: 03/01/2010
EXPIRES: 09/04/2010
VALUE: $ 175,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:: ,T.otal Value of Project
,
~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $209.04 3/4/10 1201000000000000201
+ 5% Technology Fee $104.20 3/4/10 1201000000000000201
1st Appliance $79.00 3/4/10 1201000000000000201
2 Baths One or Two Family $337.00 3/4/10 1201000000000000201
Addressing Assignment $38.00 3/4/10 1201000000000000201
Appliance Vent $9.00 3/4/10 1201000000000000201
Building Permit $1,014.00 3/4/1 0 1201000000000000201
Curbcut - 2nd Curbcut $-45.00 3/4/10 1201000000000000201
Curbcut Permit $88.00 . 3/4/10 1201000000000000201
Dryer Vent $9.00 3/4/10 1201000000000000201
Exhaust Hoods $13.00 3/4/10 1201000000000000201
Fire SF Fee -"Residential $77.40 3/4/10 1201000000000000201
Gas Outlets 1-4 $7.00 3/4/10 1201000000000000201
Plan Review Major - Planning $211.00 3/4/10 1201000000000000201
Residence Wiring 1000 Sq Ft $134.00 3/4/10 1201000000000000201
Residence Wiring Ea Addtl 500 $50.00 3/4/1 0 1201000000000000201
Sanitary Sewer - Improvement $507.07, . ,"\.';-:.,. 3/4/10 1201000000000000201
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Sanitary Sewer - Reimbursement $666.84 I:"~" 'N;' " 3/4/1 0 1201000000000000201
SDC MWMC Administration $10.00 X: 3/4/10 1201000000000000201
SDC MWMC Compliance Charge $22.63" 3/4/1 0 1201000000000000201
SDC MWMC Improvement $1,333.57 3/4/10 1201000000000000201
SDC MWMC Reimbursement $101.97 3/4/10 1201000000000000201
SDC Sanitary/Storm Admin $162.17 3/4/10 1201000000000000201
SDC Tran Reimburs-Residential $211.21 3/4/10 1201000000000000201
SDC Transportation Admin $17.83 3/4/1 0 1201000000000000201
Sidewalk Permit $88.00 3/4/10 1201000000000000201
Storm Dnlinage Impervious Area $746.62 3/4/10 1201000000000000201
Temp Power 200 amps or less $63.00 3/4/10 1201000000000000201
Vent Fan $27.00 3/4/10 1201000000000000201
Willamalane Single Family $2,858.00 3/4/10 1201000000000000201
, .,"
Total Amount Paid $9,150.55
Initial Review
I Plan Reviews I
03/01/2010 03/01/2010 OK DJB
03/01/2010 03/02/2010 APP DDK Access restricted to I driveway/lot.
Follow street tree plan.
03/01/2010 03/02/2010 . , APP BJG STORM DRAINS TO CURB AND
J . "";.~, ".' GUTTER
03/01/2010 0~/02/20 10 . APP CJC As noted on plans
Page 2 of 4
Plan nine: Review
Public Works Review
Structural Review
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00257
ISSUED: 03/04/2010
APPLIED: 03/01/2010
EXPIRES: 09/04/2010
VALUE: $175,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
UeClllire'Unsnections ~
Erosion/Grading Inspection: Prior to gronnd disturbance and after erosion measures are installed.
..d.. ",.
Sidewalk - Curbside: After forms are erect~d:~ut prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
,Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 11001' insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall NaHing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and, after. all rough in inspections have been approved.
Wall Insulation:' Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
. .l.~ ,,-, -! ,
Underlloor Plumbing: Prior to insulation or. decking.
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor Gas: After line is installed an~ r~quired testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
',.'.
PERMIT NO: COM2010-00257
ISSUED: 03/04/2010
APPLIED: 03/0112010
EXPIRES: 09/04/2010
VALUE: $ 175,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gas Service: After line is installed and line has heen connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
, ,
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rongh Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber,'c,ertify, that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~~~ ]>-.y--/O.
Owner or Contractors Signatnre' Date
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Pa2e 4 of 4
SAME: As.
s.t.ru(.. . 'Permit Application. ....
_.........
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(S41)726-3689
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C!D-f>009
DEPARTMENT USE ONLY
CClw1('::OfO-OOZS
Permit no.: .
~;~~i;;;:,;,iii~
.,"_t~""'>.J,.;~L,. -~ ".
.,""'--~.""';""''''--~
Date: ::s:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days oflssu
suspended for 180 days.
" :,L0CALGo\lERNMENT:AR~RO,VAIli~,.:
.. ,", _ '._ ,_ _ _ .. '-"'_~____"<".r""'_'_'_ ._, ..".._ _ "". .._ .. -, _. - '" -,,'-.' -,
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~1~iA1t~~2r:tfl~~~~l~GAtE1~_QRX1IQ.!3~~.G,Q.N"$rrR.:U,'~mlgl_~;J'i~~{i,: ~',5:.:}iJr,-;~. 'V.:;" .
~ Residential D Government 0 Commercial
;:;:+i:{,t,';Q9i3J.SljEi,..rN~0i'{MAtlqNi~NQ'\1'(Q,CATiQN ;".:,,:\:,,:;;:,
") O.o-..r!..
:. PROPERTY OWNER, "
Name:
Address:
City:
Phone:
oQ
(..
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member afmy immeqiate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
LATI9N: .
E-mail:
CCB license no.:
Print name:
Signature:
!~;,:;~n~:,+i;.?iit:?:~i~Ejs -(j.~~G:<D N[IlRAc;](j~J(N ~,Q.RNtA]LQW;f~~{~T?;{:'~1;1:t~:9V;
N a m e C C B L i cen se N u m b er Ph on e N u m be r
E I ectrica I I 7.2) U,
P lum bing 31 71{7
M ec ha n ic al 3 'i,;l 37
,..-'~ , . , "," _" C_":" "".,,'-' '"' ,,~. ,-1 ,.,-,", .' .",-.-,
",,>"FEE "SCHEDULE''-
~'1> V ~ t~ .*"tio:~"'l.Ijf 0 frrra:t~p,ii:~~jl::'~~'MNi;~~~>.::'~:~.H~';' },~;!;: r~ ;~~V;i;
(a) Job description: S'I'I6-t.r t-AlIVI I L
Occupancy 3 lA..
Construction type: J ~
Square feet: /I'if" r &{t:JO
Cost per square foot:
Other. information:
Type of Heat:
Energy Path:
00 new 0 alteration
o addition
o Yes
ONo
(b) Foundation-only permit?
Total valuation:
S I :r.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.]2 x (2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
S
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Snbtotal of fees above (3a and 3b):
S
(a) Seismic fee, J% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Streett Springfield, OR 97477 tPH(541)726-3753 t FAX(541)726-3689
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00- 00 Z57
Permit no.:
Electrical Permit Application
I t
Date: 3
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
~~1iiiOC~~~~$'&~&'i;Rf!MENill'l~gB:[QM~@~k%'r~4~
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Zoning approval verified? 0 Yes 0 No "~~-,,
.~Zft~
-_\~~1~T.li:<l~lti:GJ[8?K<lEY~!ti:C[i[~~RVJ@i1(I@)~E~ff~ij~&~~~3f.~
10 Residential, per unit, service included: .
[3ResidentiaJ Government 0 Commercial I 1'31.(
~'!i~j;j'(~)lfsE!ll[~'[J2li{Jyj~l!i@:'N:~J[iii~jjfQW~\11@lY~\ff~f1:rf \,000 sq, ft. or less (4) $134.00 $
Each additional 500 sq, It or portion
Job site address: 57~? Ord\.\J . thereof - 2- $ 25,00 $ ~
City: <;:",.""C:" io( I State: oQ I ZIP: '17"f78 .. Limited energy (2) $ 32.00 $
Subdi~ision\l ''''''''&( IM&:>iov-J"; 1 Lot no.: 3011' Each manufactured home or modular
_1fai}~~K~ID~~$,~:BI1~~]J.~I~jWR,~)t~~@E'~i~t?A~~~t~lt~t~ dwelling service or feeder (2) $ 63.00 $
/,..- wire. /-,;. ;.. Services or feeders: installation, alteration, relocation
\' Ll J91 AAI.. ( I ./ 200 amps or less (2) $ 61000 $
.T
illl1!"<Ji,1ii?'1"ci~'1!~eRQgER~"0WrllER'\ll;t"';[~"'~~~'io'),,?i3!~) -201 to 400 amps (2) $ 95.00 $
lJ,,\,, .;(*'. '.~ c t!l~~:r,,J.. .~" "'''''',.::~~.J w-,;>....~.... _ ~""'.>__".".<!_--'c,~,...._'=--~~--'<;.;f-R.#;i~~~".'""'>:;-r~:',t~,~>:;'.f:,,,.
Name: l-L'rJN\ K(:vr.'t" <;. 40 I to 600 amps (2) $156.00 $
Address: :/'ICL( Sw r,' f_ . r"\rpnonlawrequ\ es a,OOO amps (2) $205.00 $
City: r;? ",01 V"lCVl <>1 JJ ~~I~~ a~OX!i!l;>f~/v,\( ~-~ ~~ 't01tW0 amps or volts (2) $469.00 $
Phone: SLit -..2>8- 10'1 ') 5 No i'lffiilt.~I~~~le'~ "::;ough 0 R ~\~t only (2) $ 63.00 $
E-maiL . in :;:t\::'~~av obtain COpl~~..~' ~Ey services or feeders: installatIOn, alteration, relocation
This installation is being made on ~;~lt\nlloll ~rtJ\ility ~orless(2) , $ 63.00 $ 1.<
owned by me or a member of my mID ~l!OfrolilllP ~-2: 44 .20 I to 400 amps (2) $ 67.00 $
property is not intended for sale, ang'G~ is .10 . 40 I to 600 amps (2)
479.540(1) and 479.560(1). $126.00 $
Signature: .'" -,- Over 600 amps or 1 ,000volts, see services or feeders section above
~~1m1~.~@J\lITI~@;1@'fl:~It'Js]jjl,i~W~]!.El~~~~~ffi;~ifJ;~' Branch circuits: new, alteration, extension per panel
Business "Ton \\ 6tc~ Flpc ..'.. a. Fee for branch circuits with purchase of a service or feeder fee:
name:
Address: ...JO~ 70 (ove"! Ct- Each branch circuit I $ 6.00 $
City: &. ,,01 I State: oR. I ZIP: b, Fee for branch circuits without purchase of a service or feeder fee:
Phone: 51//-311- 191<(; Fax: - - First branch circuit (2) $ 55,00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: IY-3GC I BCD license no.: ( .:22r1. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: II ,;' S Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: I ~...v .. ,I J r. Each sign or outline lighting (2) $ 63.00 $
Jf
Signature of signing supervisor: ~ :.J .\\ ';$[,''.;J.It~1 J ~ Sign~l .ri:.~?\Lora limited-energy panel, $ 63,00 $
~ ,"'., ::~:,":~: <aljoiBliobi''''r extension (2)
~C!.< ,,~~~l!f\'\iW pection: (1) '$56.00 $ ,
NO .:T S~~t\. ~?, ~lffiRThi€A'l!im:'lli'SE;'\l\'~~1W\'''iIt''''''~'"'"
f --' '>11'.-';1;' . f.' '. i' *"~i'.' ,~,~,;"..-!ik. ~'~:"",,~"""'i,,' ~g~
'-SJV~ lH~:i~~o ~NDER TH~~ ~_" ot:16ia~:;e~~s"~"'~ .dIW""""~"!.'$,.",,,,',,C,.~
~U MMlNCW ~M (M;.;."" '''"''''~'''') I ;N;
0:;0$ ~~YI80 DAY P. i> (B) Enter 12% surcharge (.12 x [AD $ 21 (,j,
~ ~ (C) Technology Fee (5% of[AD $ j 2 7<;
~~ ~ - ~ TOTAL fees and surcharges (A through C): $ ')xS( 1,
~ C>-::
440-2584-1 (9108/COM)
R-lJ willamalane
. t-w Park and Recreation District .
Job. No.C I 0 ~ 25 r;
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010 .
NAME:ftA'/ DE:~l ~O MES.
. ADDRESS:2'{I6t/ ~ ;; iAt./a CITY~~....b
LOCATION OF PROPOSED BUILDING SITE:
Street Address: . ~? ~'7 Cl~H- (\::)
PHONE: 911-"2-6"- ~ ~.?$
STATE:JL ZIP: Cf'l?rt,
Plat Name: .
Tax Lot Number:
1. DEVELOPMENT TYPE ;(Check appropriate dwelling(s). Dwelling type definitions are on the
back.) . .' .
A: Sinqle"Family Detached
NO. OF UNITS I
X$2,858 perunit =
$ .:21?\ r
B. Sinqle-Family Attached
NO: OF UNITS'
X $3,100 per unit=
$
'c. ~J!ulti-Familv Apartment
NO. OF UNITS
X $2,641 per unit = .
$
D. Sinqle Hoom Occupancy
..n __NO._OF-;UN.ITS__..c___._ "-. --X $1;321per-unit=-,..- "$'~"~__' "~_' ___.__
E.AccessorVD~eilinq Unit
NO: OF UNITS
X $1,550 per unit =
$
$ .23'r-J'
WILLAMALANE SDC
. . .
. _.<'-', - -.
.u.".____ _~_.. ",_ _..,.._._____~,'__.. .._.. ,"____
. C 0 '-"-'-"'~3~ TOTAL WrLLAMALANEN'ETSDC ASSESSED .
(if SDC reduced for Credii)
. 2. SDC CREDIT (If ~PPljcable) SDC payer must furnish proof of
JI'Jill.arrial.a.n!l Credit approval)
$ {}
".
.~..._C'.=.,,_ '-'-'.-.;'=,=" _ "' ~ ~ _.
_'_~-_.,.-.,._-_.,.-
$ '-:hYrS
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Development Services Department
City of Springfield
. Date
;7 1~/1i
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5
n5,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/04/2010
9:48:24AM
RECEIPT #:
1201000000000000201
Job/Journal Number
COM20 I 0-00257
COM20 I 0-00257
COM2010-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 1 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 1 0-00257
COM20 I 0-00257
COM2010-00257
COM20 1 0-00257
COM2010-00257
COM2010-00257
COM20 1 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 I 0-00257
COM20 1 0-00257
COM20 I 0-00257
COM20 1 0-00257
COM20 1 0-00257
COM20 1 0-00257
COM20 1 0-00257
COM20 1 0-00257
COM20 1 0-00257
COM20 I 0-00257
Payments:
Type of Payment
CrcditCard
cReceintl
Description
Plan Review Major - Planning
Sidewalk Permit
Curbcut Pennit
. Curbcut - 2nd Curbcut
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Building Pennit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1"4
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
HA YDEN HOMES
.\ .;.
Amount Due
211.00
88,00
88,00
(45,00)
746,62
666,84
507,07.
211.21
101.97
1,333,57
10,00
22.63
162,17
17,83
1,014,00
38,00
2,858,00
337,00
79,00
27,00
9,00
13.00
9,00
7,00
63,00
134,00
50,00
77.40
209,04
104.20
$9,150,55
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$9,150,55
$9,150,55
023519 In Person
Payment Total:
.f;
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Page I of 1
3/4/2010