HomeMy WebLinkAboutDRB150402_DRB150402 receipt_1441138620.pdf********************************************************************************************
TOWN OF VAIL, COLORADO Statement
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Statement Number: Rl50001315 Amount: $20.00 09/01/201502:08 PM
Payment Method:Credit Crd Init: LC
Notation: CREDIT CARD
FROM SCOTT J. SOMES
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Permit No: DRB150402 Type:
Parcel No: 2101-071-1400-4
Site Address: 424 FOREST RD VAIL
Location:
This Payment: $20.00
DRB-Chg to Appr Plans
Total Fees:
Total ALL Pmts:
Balance:
$20.00
$20.00
$0.00
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
DR 00100003112200 DESIGN REVIEW FEES 20.00
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T •.., •
TOWN OF VAIL COM DEV
75 S FRONTAGE RD
VAIL, CO 816575043
09/01/2015 14:07:33
MID: XXXXXXXXXXXX928 TIO: XXXXX196
CREDIT CARD
VISA SALE
CARD# XXXXXXXXXXXX7896
INVOICE 0005
SEQ#: 0005
Batch#: 000087
fWoval Code: 020153
Entry Method: Mnlal
Mode: Dnlile
Tax Amomt: $0.00
Cid Code: M
SALE AMOUNT ~20.00
I agee to pay ilove total ~unt
according to cad issuer ageement.
(Merchant a~eement if Credit Voucher)
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MERCHANT COPY