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SGN2009-00231
•■ ■ ■ V• ■ ■V /1 ■ \V •fir Y ••■•■ • 9 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 T [ GA Receipt Number: 176212 - 12/08/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 -00231 Sign Permit 1003100 -43115 $35.00 SGN2009 -00231 Sign Permit - LRP 1003100 -43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 020361 LSELLERS 12/08/2009 $40.00 Payor: Thad Firkins Total Payments: $40.00 Balance Due: $0.00 Paae 1 of 1