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Receipt PLANNER 7/28/2011
... . . SP::~..~_.FIE~ L~a; ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.of-us PRMT11-00012 3815 FRANKLIN BLVD perrnilce nter@ci.springfield.or.us RECEIPT NO: 378150 RECORD NO: PRMT11-00012 DATE: 07/28/2011 !DESCRIP..TION~~.'-' ..;;:,'-,,:;':.?::L":' C4 -~_. -' _,.'" -6," C"ACCOUN:fiC.ODi:' - 0. '" '. ;;';AMO:UNT.OUE .....;;''"'i 5% Technology Fee 100-00000-425605 17.00 Department of Motor Vehicles (DMV) Renewal. UGB 100.00000.425002 340.00 TOTAL DUE: 357.00 L~e.bfVI..!;!,l;r TLRE.",-":;' PAYOR'JicASHIER: TJ.ONES; c' ..,i, :,' C:.9MMENTS'fj.-,,:;t :'. - ;AMOUNTPAID'.":';;'~2:' ., Check Dunmire Auto Sales 3815 Franklin Blvd 357.00 1 Eugene, OR 97403 TOTAL PAID: 357.00 Date Received: JUL 282011 Original submittal