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Correspondence (49) • CITY OF TIGARD Building Division TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 INVOICE TO: Legend Homes Customer ID: 55151 12755 SW 69th Ave., Ste. 100 Invoice No.: INV2009-00003 Portland, OR 97223 Invoice Date: 12/10/09 Date Due: Upon Receipt Case No. Site Address Subdivision-Lot#or Project Name Amount Due MST2008-00038 14093 SW Walnut Creek Way Walnut Creek,Lot 16 $170.91 Ag PAID Invoice Total: $170.91 ® Please see attached fee schedule for description of fees due. (Detach and return this portion with payment.) Case No.: MST2008-00038 Customer ID: 55151 Site Address: 14093 SW Walnut Creek Way Invoice No.: INV2009-00003 Project: Walnut Creek, Lot 16 Invoice Date: 12/10/09 Date Due: Upon Receipt Invoice Total: $170.91 Amount Paid: $ Office Note: Check parcel condition "met" and route copy of receipt to Dianna Howse. Please mail payment to: City of Tigard, Building Division 13125 SW Hall Blvd. Tigard, OR 97223 Attn: Dianna Howse I:\Building\Accounting\Invoice.doc 04/06 - ,I CITY OF TIGARD FEE AND PAYMENT HISTORY IN13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD MST2008-00038 - 14093 SW WALNUT CREEK WY I Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due [BUPPLN] Pln Rv Deposit 245-0000-433000 $750.00 $750.00 $750.00 4/11/08 Check 2720080000 $0.00 0000001196 [CDCPLN]CDC Pln Rev 100-0000-433060 $46.00 $46.00 $46.00 [LRPF] LR Planning Surcharge 100-0000-438050 $6.00 $6.00 $E [BUPPLN] Pln Rv Balance 245-0000-433000 $90.31 $90.31 $90.31 [EROSN] Erosn Pln Rv COT 245-0000-433010 $28.60 $28.60 $28.60 Totals for Fees $920.91 $920.91 $750.00 $170.91 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 27200800000000001196 Check 068781 04/11/2008 $750.00 Total Payments: $750.00 � Balance Due: $170.91 '\ /pd flksi .. r A' /p PRfG AL /`'irS f.20i, 7 — 60 a 7 . /c rte'k 4-4-6 ('cry ` C',t7:i P r 7`-6 ,z)//9-"/n/4 ,4„,, :s.fej. /01,x/01 CITY OF TIGARD RECEIPT � .!II 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 176495 - 01/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2008-00038 [CDCPLN]CDC Pln Rev 100-0000-433060 $46.00 MST2008-00038 [LRPF] LR Planning Surcharge 100-0000-438050 $6.00 MST2008-00038 [BUPPLN] Pln Rv Balance 245-0000-433000 $90.31 MST2008-00038 [EROSN]Erosn Pln Rv COT 245-0000-433010 $28.60 Total: $170.91 PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 1784 [SELLERS 01/07/2010 $170.91 Payor: Estate of Matrix Development Corp Total Payments: $170.91 Balance Due: $0.00 Page 1 of 1