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Receipt PLANNER 11/15/2010
. . S;~~N;~=~.D ~,~ ~OREGON www.ci.springfie\d.or.us TRANSACTION RECEIPT PRMT10-00006 2600 MAIN ST CITY OF SPRINGFJELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 374879 RECORD NO: PRMT 1 0-00006 DATE: 11/15/2010 rDE.SC~ptION;,2~ _'';";+- ..-~.:"~- ~'. Fo' :::~ -. 5% Technology Fee Department of Motor Vehicles (DMV) Renewal - City ,i.:~~:--'--h--,~;AceooNtcoDE__-: -'. ---.,AMOUNtbuE.;::.,''.l ~_ ,~...~....~,..~..."........_.~..<. ",',m ___"_"_"'__"_"__.~__,._...' _~ 100-00000-425605 $14.05 100-00000-425002 $281,00 TOTAL DUE: $295.05 , -----C91V11'i1E.NIS.-~ -' -.-:-",,':, AMOUN;T PAID--',. I;J LRAYJ~~NI-JY.Eg.-'\-- PAYOR'(~' CAS~IE~:LMILCER Check 6800 Dunks Performance 2600 Main Street Ste A Springfield, OR 97477 $295_05 $295_05 - / Date Received: NOV 15 2010 Original Submittal