HomeMy WebLinkAboutReceipt PLANNER 5/17/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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<<ity of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000207
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Date: 05/17/2010
9:54:20AM
Job/Journal Number
PRE20 1 0-00006
Description
CTY Site Plan Rvw Tentative
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Amount Due
346.00
$346.00
Payments:
Type of Payment
Check
Paid By
RONALD E THEINES
Item Total:
Check Number Authorization
Received By Batch Number Number' How Received
Amount Paid
emm
3173
In Person
Payment Total:
$346.00
$346.00
PRE-SUBMITTAL REC'D
MAY 1 7 2010
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Page 1 of 1
5117/2010
. CITY <>e: SPRINGFIELD .
Ity Hall
. Springfield, Oregon .
Development Services
OFFICIAL RECEIPT
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Date 5-11- 0 19
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Address 10 $0-"", Z-S iUq \Jervrl Ie
22108 .
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Received For:
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Amount Received
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AUTHORIZE SIGNATURE
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frDntler BUSINESS FORMS. INC. 15031342.8149