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SGN2005-00318 CITY OF TIGARD 10/26/2005 13 12 5 SW Hall Blvd. 10:00:03AM Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200500000000005457 Date: 10/26/2005 Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00318 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2005 -00318 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $38.00 nts: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check SECURITY SIGNS, INC CAC 014298 In Person 38.00 Payment Total: $38.00 m� Page 1 of 1