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HomeMy WebLinkAboutPEC150035 receipt.pdf TOWN OF VAIL COM DEV 75 5 FRONTAGE RD VAIL,CO 816575043 12/11/2015 12:53:38 MID:X OOOOOOGOCC(928 TID:XXXXX196 CREDIT CARD VISA SALE Card# )0XXX)0000C(XX1348 Chip Card: CHASE VISA AID: A0000000031010 ATC: 0009 TC: -5B9E5C0B30BFBB66 SEQ#: 5 Batch#: 154 INVOICE S Approval Code: 00154G Entry Method: Chip Read Mode: Issuer Tax Amount: $0,00 SALE ANOUNT $2553 I agree to pay above total amount according,card issuer agreement, (Merchantagreemer4 Cr-'' Voucher) �X pfd°pa `b i '�4 ` ) MERCHANT COPY ar ) ******************************************************************************************** TOWN OF VAIL, COLORADOCopy Reprinted on 12-11-2015 at 14:20:21 12/11/2015 Statement ******************************************************************************************** Statement Number: R150001958 Amount: $1, 000.00 12/02/201510:41 AM Payment Method:Credit Crd Init: SAB Notation: Allison Kent- MPG Permit No: PEC150035 Type: PEC -Minor SDD Amendment Parcel No: 2103-121-1500-4 Site Address: 1000 S FRONTAGE RD WEST VAIL Location: Indoor Tennis Courts Total Fees: $1, 025.53 This Payment: $1, 000.00 Total ALL Pmts: $1, 000.00 Balance: $25.53 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts PV 00100003112500 PEC APPLICATION FEES 1, 000.00 ` I I cccv_e „ro_._ 001—L61cl-12 g C6 \ sem LLA \ ,rte ******************************************************************************************** TOWN OF VAIL, COLORADOCopy Reprinted on 12-11-2015 at 14:23:53 12/11/2015 Statement ******************************************************************************************** Statement Number: R150001994 Amount: $1, 025.53 12/11/201502 :23 PM Payment Method:Credit Crd Init: LC Notation: credit card Alison Kent-MPG $1000, credit card Dominic Mauriello-MPG $25.53 Permit No: PEC150035 Type: PEC -Minor SDD Amendment Parcel No: 2103-121-1500-4 Site Address: 1000 S FRONTAGE RD WEST VAIL Location: Indoor Tennis Courts Total Fees: $1, 025.53 This Payment: $1, 025.53 Total ALL Pmts: $1, 025.53 Balance: $0.00 ******************************************************************************************** ACCOUNT ITEM LIST: Account Code Description Current Pmts PV 00100003112500 PEC APPLICATION FEES 1, 025.53