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CITY OF CARMEL
ZONING/ DEVELOPMENTS RECEIPT
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PARCEL ID
PROJECT
RECEIPT #
RECEIPT DATE
RECEIVED BY
REC'D. FROM
TEST106.1
UDF 106.2
NOTES : TERESA CHAPMAN STATE FARM INS
1609251202020000
05090007
19904
09/22/2005
dlittlej
TERESA CHAPMAN
ADDRESS 14 MAIN ST W
PRINT DATE 09/22/2005
PRINT TIME 09:56:33
OPERATOR dlittlej
COpy # : 1
CASH DRAWER: PZ
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FEE ID UNIT QUANTITY
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
309.00 0.00 309.00 0.00
---------- ---------- ---------- ----------
309.00 0.00 309.00 0.00
---------- ------------- ----------
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
309.00
1015
------------
------------
309.00