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Receipt PLANNER 11/18/2010
. . S~4~~:'::,E~, IL~~ ~..OREGON TRANSACTION RECEIPT TYP110-00011 1300 MOHAWK BLVD www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO: 374932 RECORD NO: TYPIIO-OOOII DATE: 11/18/2010 !OESCRIRJION';;kci.f<::::;;;:;;:",,>i' ~,~~~;:; .,:;j.",-';';~:Ac;9:QO:[t~C_0J1.E~"~":: -, .'.",'I!::M9J.fr-Lr&lJJ:+ ,., 'f";' ,,!';'J 5% Technology Fee' 100-00000-425605 $36,30 Minimum Development Standards - City 100-00000-425002 $724.00 Minimum Development Standards - City 100-00000-425002 $2.00 TOTAL DUE: $762.30 i:.:.P.AYMENT{;r,ypj:'Yif;'p AY:0R~lYCAsfflltR7TJoFJjs"';s';4~"G.0J1!1.M~Nt:S~:',' .1".;'dl.';~~,,~0;l;,''''C;:,rc'AIVIQlJNT-~Aljj }"ii' :.' , , I Check :/t; 2>71- SEB Investments 1385 Oak 51 Eugene, OR 97401 1300 Mohawk Springfield, OR 97477 Cash John Erickson $760.30 $2.00 $762.30 Date Received: NQ\I \ a 20\0 , \ \ ,1, . S bllllttal Original U