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Receipt PLANNER 9/14/2011
. www.ci.springfield.or.us TRANSACTION RECEIPT TYP211-00011 650 Q ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 , permitce nter@ci,springfield.or.us RECEIPT NO: 378523 RECORD NO: TYP211-00011 DATE: 09/14/2011 lOESCRIBTI0Nlflt:;(\i2i!'\~dElLi>i~.t;;~t;Yl;'f-f':'r;;:'-';\;\i2i!~~;:::i~fY:;#AC.COGNT::C.0DE';7:t;",'1l:n'0>;"~-'AMOUNr~o.IJE;-f-"'~'-'R ~ 5% Technology Fee 100-00000-425605 211.10 Site Plan Tentative Review - City 100-00000-425002 4,222.00 Type 2 Postage Fee 100-00000-425505 u. ___.___.. .1.6.0,.00 TOTAL DUE: 4,593.10 L~~~~.,~tttTI~~IJ;r~":g~y'Q~~g~iHJER~~~i~'?L~~~~~=:::~~C~QM~E'~JtSJ:>:t~~wst:~~JY ,,',:AMOUNT f'AID~:~T'~;;:'~L:J Check Kroger Kroger Stores 4,593.10 7801071 1014'Vine Street Cincinnati OH 45202 TOTAL PAID: 4,593.10 Date Received: SEP 1 4 2011 Original Submittal