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DRB120139 RECEIPT
TOWN OF VAIL, COLORADO Statement Statement Number: R120000416 Amount: $20.00 05/04/201203:02 PM Payment Method: Check Init: LC Notation: #15019 /BETH LEVINE ARCHITECT INC ----------------------------------------------------------------------------- Permit No: DRB120139 Type: DRB -Chg to Appr Plans Parcel No: 2101 - 072 - 1101 -8 Site Address: 736 FOREST RD VAIL Location: A SIDE Total Fees: $20.00 This Payment: $20.00 Total ALL Pmts: $20.00 Balance: $0.00 ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------- - - - - -- ------------------------ - - - - -- ------ - - - - -- DR 00100003112200 DESIGN REVIEW FEES 20.00