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Receipt PLANNER 10/6/2010
. . s~;~~.~~ l~,w ~.OH:EGON www.ci.springfield.or.us TRANSACTION RECEIPT TYP110-00004 6694 JACOB LN CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEII'T NO: 374511 rDESCRIPJiON , ,'>" , ,,', 5% Technology Fee Property Line Adjustment - City RECORD NO: TYPI1O-00004 ,:~":'l,. ; ;:;~.~. ,,"',;.;'{,-~c_c:6.VNLC(j[jE~ r ,'$;.,.' 100-00000-425605 100-00000-425002 TOTAL DUE: DATE: 10/06/2010 , AMQ.U.NJ:JlJJ.E' ;' ,<-,' -' ...J $31.15 $623.00 $654.15 AMOUNT PAIl) . '-'.. ' ] L1".AYME!'ITTVPE'-'. - pAVOR ;.,'CASHIER:,TJONES C_QMMEt:lis~:, ' .. "-~,. . .;:'~: " Check 2377 Branch Engineering 310 5th St Springfield, OR 97477 $654,15 $654.15 Date Received: OCT - 6 2010 Original Submittal