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Receipt PLANNER 7/7/2011
. TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541.726.3753 www.ci.springfield.or.us TYP111-00016 2298 Clear Vue LN permilcenter@ci.springfield.or.us RECORO NO: TYP111-00016 OATE: 0710712011 "^A~:'~4,L~, ~ACCQUNf!cobE" ::,Vi.':"'l;-" , AMOUN-(OUE: i'>::',"',:-,':.J 100-00000-425605 55.25 100.00000-425002 1,105.00 TOTAL DUE: 1,160.25 E.;'PAYMENf"l'YPE ~;"'i' F;A'fORf~i,~r:SASHIER:'S~~~!~~.QMgl'S::i<?',~_:.r ~_' ,::-Z;,4,:AMOUN:'!::PAID:.,,,:' "".:r.! Check ~. \ l~o/'ll6bLI {'e11!-OO~ ..' $1,160.25 3873 5'" r' Ilt.:.3;P()(lt..~-<,e.f ,1\ Ie:!' I'L JW\'l<.t-itlYl .~-ft., 0 R.. J' <'(7'1'19 RECEIPT NO: 377899 lOEs'a Ri~ildN;'I.:{~:;Y;r+;.i~,~;l~':''-2' r;iZ;'+:''!x~~.,~;. 5% Technology Fee Floodi>lain Development BASE ONLY Fee - City TOTAL PAID: $1,160.25 Date Received: JUL '- 7 2011 ~ Qr~fj I SwbrnjE~l