Correspondence • CITY OF TIGARD
= Building Division
TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171
INVOICE
TO: Petsmart Customer ID: C07-0003
19601 N. 27th Ave. Invoice No.: INV2007-00010
Phoenix,AZ 85027 Invoice Date: 5/23/07
Attn: Mike Cocciardi Date Due: Upon Receipt
Case No. Site Address Subdivision-Lot#or Project Name Amount Due
BUP2005-00364 7501 SW Dartmouth St. Petsmart,Store#387 $637.93
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Invoice Total: $637.93
® Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: BUP2005-00364 Customer ID: C07-0003
Site Address: 7501 SW Dartmouth St. Invoice No.: INV2007-00010
Project: Petsmart, Store #387 Invoice Date: 5/23/07
Date Due: Upon Receipt
Invoice Total: $637.93
Amount Paid: $
Office Note:
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
CITY OF TIGARD 7/10/2007 11111 _ ~ 13125 SW Hall Blvd. 2:49:20PM
Tigard,OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000003188
Date: 07/10/2007 •
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
BUP2005-00364 [BUPPLN] Pln Rv 245-0000-433000 394.91
BUP2005-00364 [FLS] FLS Pln Rv 245-0000-433020 243.02
Line Item Total: $637.93
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check PETSMART DLH 529426 By Mail 637.93
Payment Total: $637.93
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cReceipt.rpt Page I of
IPII CITY OF TIGARD Fees Associated With
5/23/2007
12:27:12PM
C 13125 SW Hall Blvd.
TIGARD Tigard,OR 97223 503.639.4171 Case #: BUP2005-00364
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
PLCK 1/1/1990 12/31/2005 [BUPPLN] Pln Rv 245-0000-433000 DEB 8/2/2005 394.91 394.91
FIRE 1/1/1990 12/31/2005 [FLS]FLS Pln Rv 245-0000-433020 DEB 8/2/2005 243.02 243.02
Total Due: $637.93
Page 1 of 1 CaseFees..rpt