Loading...
HomeMy WebLinkAboutDRB150273_DRB150273 receipt_1436216760.pdf******************************************************************************************** TOWN OF VAIL, COLORADO Statement ******************************************************************************************** Statement Number: Rl50000916 Amount: $250.00 07/06/201502:48 PM Payment Method:Credit Crd Init: LC Notation: credit card from Connie Nunley, ERWSD Permit No: DRB150273 Type: DRB-Minor Alt,Comm/Multi Parcel No: 2101-072-1600-2 Site Address: 846 FOREST RD VAIL Location: This Payment: $250.00 Total Fees: Total ALL Pmts: Balance: $250.00 $250.00 $0.00 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts DR 00100003112200 DESIGN REVIEW FEES 250.00 ' ' •'','; (' .. :~·TOWN OF VAIL COM DEV· . 75 S FRONTAGE RD VAIL, CO 816575043 07/06/2015 14:45:27 MID: XXXXXXXXXXXX.928 TIO: XXXXX196 CARD# INVOICE SEQ#: Batch#: Approval Code: Entry Method: Mode: Tax Arnolllt: Ci'd Code: CREDIT CARD VISA SALE XXXXXXXXXXXX.2969 0001 0001 000047 029681 Mnlal Onlhe $0.00 M SAlE AMOUNT ~250.00 I agee to pay !Jove total amomt accordilg to c~d issuer agreement. (Merchant agreement if Credit Voucher) x \[~<Lf~ ~~'-.-e. A \,)..v--L ~ MERCHANT COPY