HomeMy WebLinkAboutB14-0418_B14-0418 DIA receipt_1417017300.pdf PAYMENT DATE• Town of Vail BATCH NO.
11/25/2014 75 South Frontage Road 2014-00000540
COLLECTION STATION Vail, CO 81657 RECEIPT NO.
Front Desk (970) 479-2100 2014-00007249
RECEIVED FROM CASHIER
SUSAN ROSENBACH Andy Janusz
DESCRIPTION
PERMIT#B14-0418 107 ROCKLEDGE RD,VAIL
PAYMENT CODE RECEIPT DESCRIPTION TRANSACTION AMOUNT
DIA I Developer Improvement Agreement I $135,458.75
Payments: Type Detail Amount
Check 4860 $135,458.75
Total Cash $0.00
Total Check $135,458.75
Total Charge $0.00
Total Other $0.00
Total Remitted $135,458.75
Change $0.00
Total Received $135,458.75
Total Amount: $135,458.75
Printed by:Andy Janusz Page 1 of 1 11/25/2014 08:57:51 AM
•
Town of Vail
Department of Community Development •
75 S. Frontage Road
Vail, CO 81657
Name: c05)-1—N L— Receipt No.
Address: O�/ g 1/ �,L
Project: Date / 7 /
Please make checks payable to the TOWN OF VAIL
t Each Total
SUSAN L.ROSENBACH 4860 $5.00 *
107 •
GOCK RY S.
ROSENBACH , 51-51/11g CT $20.00 *
335
VAIL,CO 81657 E /J2 V4;20 , •/
Date
Pay to tlu (��� /
Order of /AU V) L g -1e4 $ (35 4s �-s,
4 C 4,,,c.L2 7l t 7' 71 gAgim t/ j� $0.25 *
61) $60.00
Bank of America
ACH Rrf 011900571 't
*
For j7errn 11 13 1�I— 0`41 /
':0 1 1900 5 7 11: 00006 3 S6 2 79 211'4860 i S's, •7S-
UU I-UUUU.L,iULU.UU opec.HbseSu's esi ui nL rec w or%
110-0000.31411.15 Resale Commission MS
001-0000.31944.00 Miscellaneous MS
Other- MS
Other- MS
Other- MS
Other- MS
001-0000.20110.00 Taxable @ 4.4%(State)-Tax payable TP
_001-0000.31012.00 Taxable @ 4% (Town)-Retail Sales Tax T7
TOTAL: /3 5; 1-I`3e:7 3
*all items charged tax
Comments:
Cash Money Order# Check# 'Z ° �v Received C--k ._
Credit Card:
Visa/MC Last 4 CC#'s Auth #: Name on CC
f/cd ev/forms/admin/s a l e s_a cti o n_fo rm_2013