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Receipt PLANNER 7/7/2011
. . SP,~INGFIE~, . . yeti ",,:, 0"OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us TYP111-00015 3115 INDUSTRIAL AVE 1 permitcenter@cLspringfield.or.us RECEIPT NO: 377895 l,DESCRIIHlON.~. ::". __5% Tec~nol?].y Fee Final Site Plan Equivalent - City RECORD NO:TYP111-00015 DATE: 07/07/2011 :;~'_~~~, ~\..:--..:.. --.:.' -"~, ~'~t=,~~>-'. "~ _ _ ~_.Ac.cb,liNJ~CODE:L~~;:~':::-~~~~AM6uNtD,UE~~_~_'~" 100-00000-425605 188.05 ----- --~. 100-00000-425002 3,761.00 TOTAL DUE: 3,949.05 '- ,',-,'.;AMOUNn'>AID """".1 $3,761.00 [ PAYMEN;r;t.YPE'.'-~"-,PAYOR;.is. ','CASIjI~R' OKELLY Check Nelson Brothers Trucking 0:~fi:f0 'COMMENTS" Check #6389 Nelson Brothers Trucking PO BOX 23308 EUGENE OR 97402 Check 1118 Richard M Satre Check #1118 Richard M Satre 1326 Wimbledon PI Springfield OR 97477 $188.05 TOTAL PAID: $3,949.05 Date Received: JUl 0 7 20tl Original Submittal