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DRB140198 receipt
************�************+**************+*********************************�***************** TOWN OF VAIL, COLORADO Statement ******************************************************************************+***********+* Statement Number: R140000728 Amount: $20.00 06/05/201411: 11 AM Payment Method: Check Init: CG Notation: ck 13567 Sergerberg & associates ----------------------------------------------------------------------------- Permit No: DRB140198 Type: DRB-Chg to Appr Plans Parcel No: 2101-071-1503-6 Site Address: 126 FOREST RD VAIL Location: 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 ----------------------------------------------------------------------------- y. �