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SGN2005-00168
CITY OF TIGARD 6/7/2005 13125 SW Hall Blvd. 10:21:04AM , , ,iii '61j1.. igard, Oregon 97223 (503) 639 -4171 Receipt #: 27200500000000002574 Date: 06/07/2005 e Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00168 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00168 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 ELC2005 -00384 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40 ELC2005 -00384 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27 Line Item Total: $94.67 ments: Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid Check SECURITY SIGNS BB 013539 In Person 94.67 Payment Total: $94.67 ,t Page I of 1