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DRB120561 receipt
****************+**************************************************+******************+***** TOWN OF VAIL, COLORADO Statement ************************+*************************�********************************+*******+ Statement Number: R120001867 Amount: $56.00 11/13/201203:51 PM Payment Method:Credit Crd Init: CG -------------------------------------------------------Notation---visa rayla ------- Permit No: DRB120561 Type: DRB - Sign Application Parcel No: 2101-082-8400-2 Site Address: 1 WILLOW BRIDGE RD VAIL Location: ONE WILLOW BRIDGE ROAD UNIT C-5 Total Fees: $56.00 This Payment: $56.00 Total ALL Pmts: $56.00 Balance: $0.00 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts ------------- ------------------------------ ------------ DR 00100003112200 DESIGN REVIEW FEES 50.00 SP 00100003124000 SIGN FEES 6.00 -------------------------------------------------------------------- TOWN OF UAIL GOM DEU 75 5 FRONTAGE RD. UAIL, CO 81657 97A-479-2324 TERMINAL I.D.; 2BB2 MERCHANT q; VISA PURCH MAIL��ORDER BATCH: BBAbA3 INU:0B0001 AUTH:08495G NOU 13a 12 15:4$ TOTAL g5�.�8 CUSiOMER COPV