HomeMy WebLinkAboutPermit Building 2010-6-25
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00155
ISSUED: tgol2.lOo \O,~
APPLIED: 02/05/2010 \}."
EXPIRES: 12/04/2010
VALUE: $ 385,495.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
p .'
SITE ADDRESS: 6280 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702343408500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 75, Monntain Gate. Ref: COM2007-00403-
Residential
Owner: THOMAS WALTER CUSTOM HOMES LLC
Address: 855 OAKW A Y RD
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumhing
Contractor License
THOMAS WALTER CUSTOM HOMES LLC 160287
WELDON EARL OATMAN' 185563
ST SECURETECH INC 156618
MARSHALLS INC , . 25790
RS PLUMBING CONTRACTORINC 103816
I BUILDING INFORMATION I
Expiration Date
08/1212010
02/19/2011
12/23/2011
01/04/2012
Phone
54 I -683-6355
54 I -505-7223
54 I -484-9078
541-747-7445
541-461-4714
# of Units: d.... f II of Stories:
. 'OJ::"'!'. '..
Primary Occupancy Group: __,' .R'3':'..-. Height of Structure 41.00
Secondary Occupancy Group: U Type of Heat: Forced Air Gas
Primary Construction Type VB Water Type: Gas
Secondary Construction Type: laW req~~~:' Gas
# of Bedrooms: ATTENTION: Oregon the ~1iYUtlI2&
~lIow r~'es adopte~:cise rule5pilft!Joo,::ding: No
'no~AR 952-O01-O01~ FORMATION
You may obta t e
0090.. the center. {Note:.. Notification .
Frontyard Setback: ca'h~~r for thelDregon Ut~~~*y Dist:
Side I Setback: RUm ceritelq1ll1-800-33 :-~~treet Trees Rqd:
Side 2 Setback: 27.00 Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: 0.00 ,.,,'_,.~-'
<.,""",-'.:'-:
2
Lot Size:
Sq Ft 1st Floor:
. Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
21,337
1,523
2,061
783
157
Hillside
3
Yes
16.60
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improve~_,\.i',:'~ ,\'~"_'
Yes:,,:"
Sidewalk Type: . ",,,,,,"','c'" b . d 5'
DownspoutS/Drains':"Kc">i}-':i::'~t~Th~e,:er
. . ' :I'\\\t. \r1 \$ ~01 "
~01\~~~,,^\1 S\\~i;{\\\S ?~~~g fO\\ < :,:'.
\~~\'IO\\\lt.\)\)\)~\\ \'2> r>.~I\~\) ...' .
CO~JW.J\\:t-lC\:I\'{ ?\:\\\O\).
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Notes:
Paee I of 5
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Gara2e/Misc
SF/Duplex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
SDC MWMCAdministration'
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential,
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
. Fixture
Gas Outlets 1-4
Gas Outlets 4+
Plan Review Major - Planning
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resid,ent
SDC Transportation Admin
Storm Drainage Impervious Area
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00155
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/05/2010 '
12/04/2010
$ 385,495.00
I Val~~:tion Description ~
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
940.00
3,584.00
Value
Date Calculated
$35,456.80
$347,038.72
$382,495.52
02/08/2010
02/08/20 I 0
Total Value of Project"
~'
"
.. . ~. '.
Amount Paid'
$1,029.47
$10.00
$22.63
$372.05
$10.36
$40.08 ,'","
$16.70TC~ :U~~'1)'. '~
$134 OO-'::;$~ ";-:;;'::..JW,i"r
. "'--""'"
$200.00""..:, ,h" ,
$6.9tP' "-
$2.90 '
$32.00
$26.00
$311.01
$140.14
$79.00
$402.00
$38.00,.,
$1,872.77 .
<\.. - ,it~, ."
$9..09~':d' ~,.,:~ , :; ";1-:"
S13,00 "
$226.20
S40.00
$57.00
$7.00
$4.00.
$211.00
$187.83, "
$85.72~"'" ,-';",:;"
, It ~',-, 1.; i. : t: .
$112.73';"""'""" :,'~';
$32.7!r,"~
I;~~,- ,..' ". '" ,
$21.63;;:' "
$95.33
$11.09
$147.24
Date Paid
Receipt Number
2/511 0
3/1110
3/1110
3/1110
3/1110
3/10/10
3/10/10
," 3/10110
3/10/10
4/12/10
4/12/10
4/12110 '
4/12/10
6/25/10
6/25/10
6/25/10
,6/25/10
ji/25/10
6/25/10
6/2511 0
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/25/10
6/2,5/10
.. 6/25110
6/25/10
6/25/10
6/25/10
6/25/10
6/2511 0
2201000000000000110
1201000000000000185
1201000000000000185
1201000000000000185
1201000000000000185
1201000000000000217
1201000000000000217
1201000000000000217
1201000000000000217
3201000000000000139
3201000000000000139
3201000000000000139
3201000000000000139
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
2201000000000000750
Pa2e 2 of 5
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
, '
~. .: 1
PERMIT NO: COM2010-00155
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/05/20 I 0
12/04/20 I 0
$ 385,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temp Power 200 amps or less
Vent Fan
$63.00
$45.00
6/25/10
6/25/10
2201000000000000750
2201000000000000750
Total Amonnt Paid
$6,115.63 :,,':::: ,
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I ,,;Pi;n Re~i~ws ~
Structural Review,
02/08/2010
~ '.
.:..
Initial Review
02/08/2010
02/08/2010
WE
LLH
Placed a call to Rebecca Gershow at
Willamalane regarding their SDC's
for this project. She returned my
call andsaid she will review and call
me later.
PlanninlZ Review
02/08/2010
02/Il/2010-, .... A~P DDK
, '.,
. ,
, ,
.
Place orange construction fencing
along the Vegetation Easement and
keep all construction activity out of
this area. Use Native street trees
from the Hillside list on page 4 of th,
street tree handout.
Public Works Review
02/08/2010 02/17/2010 APP BJG
02/19/2010 02/19/2010 WE KLK Mailed, emailed and faxed comment
letter- incomplete submittal.
. ...... .- .....
02/24/2010 ' .," , ~. , 1 .APP' KLK Provide Signed Electrical Permit
' 02/24/2010.'-,...
;J::':::-;;:- _'.:',: .~::,.4~ ;.
. !.: p 1';" . ~ 1: \' \ Application from Electrical
;{a:<J::1;';," ""', , Contractor.
,'-.. ..
02/25/2010 02/25/2010 APP LLH No additional Willamalane fees are
due per Rebecca Gershow at
Willamalane.
Structural Review
Structural Review
Initial Review
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. ' . " ,.',
':.
~e~llirerUnsn~ctions ~
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
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CITY OF SPRINGFIELD
'~:!l';'f,
Building/Combination Permit
Status
Issued
PERMIT NO: COM201O-00155
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/05/2010
12/04/2010
$ 385,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'..
, i,
Fonndation: After forms are erected but prior to concrete placement.
.,- ..
Post and Beam: Prior to floor insulation '01:' d,.eking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: 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.
Roof Sheathing/Nailing: Before covering she~~hingh~,iih:finish.material.
Masonry:
,11 ".
j ,~~!l:~
\1~
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking. '::.::'
,f, ,) '. ,
Underfloor Drain: Prior to cover or place\fuent fof 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 filling trench.
Final Plumbing: When all plumbing work is complete.,
Underfloor Gas: After line is installed and :dlqj;ire(hb~iihg ~hd;capped if not attached to an appliance.
J'..... ' .
Underlloor Gas: After line is installed andr~<iuired 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.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Final Gas: When all gas work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
. 1.
Rough Mechanical: Prior to Cover ' . .
""i "".
Final Mechanical: When all mechanical work is comple,te.
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Temporary Electric: Approval require~.prio.~:to Utility ,Company energizing pole.
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Page 4 of5
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CITY OF SPRINGFIELD
Building/Combination Permit
::3f{Ni. "Ci1"} }~~::{
'.',
PERMIT NO: COM20IO-00I55
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/05/2010
12/0412010
$ 385,495.00
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
,<til ,\1...'"
"'t',u!i~ f j
,'..
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Sidewalk - Curbside: After forms are erected'but prioqil pia cement of concrete.
Curbeut - Standard: After forms are erected' but prior to. placement of concrete.
<I':; "'," , I
Low Voltage: Prior to cover. ' " .
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 further certify 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 ensure that all required inspectio~s'iire fequested at the proper time, that each address is readable from the
street, that the permit card is located at the front of!:t~~,pro'pe'rtY, and the approved set of plans will remain on the site at all
times during construction. /1 11 t:~.'~'j:~-;~'
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~
Owner or Contractors Signature Date
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Page 5 of5
(
Electrical Permit Application
-
225 Fifth Street+Springfield, OR 97477+PH(S41)726-3753+ FAX(541)726-3689
>r''''n'i;''.:'' :',"~'::,':"" --C"":,',-:',.:' ..~.w.:'-i_' '-''':<2.;,",'.)9 '".:." " "
..... DEPARnJiENTUsE ONN.,
is,,;-:... <;t,.,.: ;xt';"~cd~r"~,,,/~w,.t<j,.,,_~, ',".. -.- -.'''....F'',..:'''..<..:.
-\~
Date:
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.
,;j,'::: :s, l:;OCAlJ'GOVERNMENrAPPROVAL ::::':'
Zoning approval verified? 0 Yes 0 No
'..., ,.,CATEGORY. OF:::CONSTRUCTION ':",:"...
~
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,..
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR.
479.540(1) and ~(:I)
Signature: - 4' .J c;;
...... ....CONTRACtORdNSTAl!.I2ATION:::::.
~
Business name:
Address:
City:
Phone:
ZIP:
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
S~gnature of signing supervisor:
BCD license no.:
440.2584.J (9/08/COM)
~
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. .../ .. ....... ..";':.'FEE/SCHEOuLE';':/C:;':'" ,
,. .. '.' .,.' .'.."'7 :'1" }/'r,::'1i<" "Cost;' d. .Total
.Qt)', '08/' .. cost
L..L:.,.._:...,............-.c
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation . )
200 amps or less (2) \ $ 63.00 $1091, ?V
20 I to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purcllase of a service or feeder fee:
Each branch circuit $ 6.00 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
..:..... ~ ;)t /./ .....,U.. .;.. ..
(A) Enter subtotal of above fees $ \.Q~ cl
(Minimum Permit Fee $S8.00)
(B) Enter 12% surcharge (.12 x [A J) $ '1.1 ,I
(C) Technology Fee (5% of[AJ) $?" \ ~
TOTAL fees and surcharges (A tbrough C): €l~.'1\
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APPLICATION TO DEFER FEES AND CHARGES
AND CONSENT TO ASSESS LIEN
46
The O'Olers of the property shown below hereby apply to the City of Springfield to pay the fees and charges of$ 1./ Z I Z -;--
defe1.1ed untii final building occupancy is requested, Such fees and charges include System Development Charges assessed on the
propetty for the City and Willamalane Park & Recreation District. In the event that the real property on which the fees have beea
defend pursuant to Ordinances 6233 and 6234 is sold ar conveye-d, the fees OT charges defeiTed shall become immediately due
and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the
property or any or all of the o?-'ner's interest in the property, The owners hereby apply for and Consent to the voluntary imposition
of a lien for $ Lfl I "L ".Y 8 upon the following described .land in the City of Springfield, Lane Calmly, Oregon:
MAl'ANDTAXLOT 170?.-3t{s4
0.85DO
SITE ADDRESS 62-80 Foltsr 12-lbCsF p.e.
CITY, STATE, ZIP SP{lINr?-;t:-L-d / "It C,7lf,S
SEE >l.TTACHED LEGAL PROPERTY DESCRlPTION
T HO""'1"ts t./A-L-'ElL CLA ~ TO~ H-o ~e-~
Z8b3. (2.1,,~wAL\( LP
eU.&t:k'~
02.. ZIP '1740(
LL-L
BILIJNG NAME
BILLING ADDRESS
CITY
STATE
O~
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~
FEES AND CHARGES DEFERRED
. $
4212" 48
TOTAL LIEN
$
4212.. Y6
We are all of the legal owners of the described land or all of the contract purchasers of record of the described land lo which these
fees and charges arc applicable. We w!J,ive any and aU irregularities or defects, jurisdictional, or otherwise) in any proceedings to
impose, calculate and'collect these fees and charges, and ill the imposition and collection of the lien consented to in this
app lieation. We promise to P?y tbese ,fees and charges when final building occupancy is requested Of at such time .the real property
is sold or conveyed. 111e charges may be paid in full at any time without penalty. We understand that if there is a subsequent
failure to pay the fees and charges the City sh~1J have the right to enforce payment of the amount due in-any manner prpvided by
the geneIallaw of the State of Oregon, or by the Springfield Municipal Code, including but not limited to foreclosure of the land.
We acknowledge that Othe City has an interest in the propei.ty to collect these fees and charges) including System Development
Charges, and that the City has the autbority to lien the pl"Operty to collect those fees. and charges. In the event of any proceeding to
'enforce collectioo or to foreclose, lhe entire unpaid balance and any fees s~all.,?e considered delinquent and due. We also agree to
pay tbe CIty'S cost of collectIOn or foreclosure and any attomey fees necessary for sllch collectIon or foreclosure
'(~0..N'J'..1> A.h hlhoJ ~: t1 ~ :)11/10 5'11-683,-<;;3_'>':;-
PnntName of wner SlgmltUle or OWner Dale Phone #
Print Name of Owner
Signature of Owner
Date
Phone. #
Print Name of Owner
Date
Signature of Owner
Phone #
Print Name of Owner
Date
~ignature of Owner
Phone #
.
OFFICIAL SEAL
DTHIIY. E lEE DEI
NOTARY PUBLIC-OREGON
COMMISSION NO. 443126
MY COMMISSION EXPIRES OCT 4. 2013
STATE OF OREGON
5S.
County of Lane
\'S\-
day of 1\Y'~ '('C' h
,lot
".-'0.
Notary Public ~~~_on
v:\common\accnlin~\asscssmt\Dcfcrrr:t1 fees conlnH:Lduc
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000750
Date: 06/25/2010
3:04:21PM
Job/Journal Number
COM2010-00]55
COM2010-00]55
COM20]0-00155
COM20]0-00155
COM20 I 0-00 155
COM20 I 0-00 155
COM2010-00]55
COM2010-00155
COM2010-00155
COM201O-00155
COM2010-00155
COM20]0-00155
COM20]0-00155
COM20]0-00155
COM2010-00]55
COM2010-00]55
COM2010-00155
COM2010-00155
COM2010-00155
COM20]0-00155
COM20]O-00]55
COM2010-00]55
COM2010-00155
COM2010-00155
Payments:
Type of Payment
CreditCard
cReceil1tl
Description
Plan Review Residential
Fire SF Fee - Residential
Temp Power 200 amps or less
Plan Review Major - Planning
Building Permit
Addressing Assignment
3 Baths One & Two Family ,.
Fixture
. ] st Appliance
Exhaust Hoods
Dryer Vent
Gas Outlets]-4
Gas Outlets 4+
Fireplace (Listed)
Vent Fan
Storm Drainage Impervious Area', . .'
Sanitary Sewer - Reimbursement'J' k
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Sanitary/Storm Admin
SDC Transportation Admin
+ 12% State Surcharge
+ 5% Technology Fee
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Paid By
THOMAS WALTER
Check Number
Received By', . Batch Number
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
187.83
226.20
63.00
211 .00
1,872.77
38.00
402.00
57.00
79.00
13.00
9.00
7.00
4.00
40.00
45.00
147.24
112.73
85.72
21.63
95.33
32.79
11.09
311.01
140.]4
$4,212.48
Amount Paid
000549 In Person
Payment Total:
$4,212.48
$4,2 J 2.48
6/25/20 I 0