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14050031 Receipt/Permit
CITY OF CARMEL ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: plux COPY # : 1 Sec : Twp: Rng: Sub: Blk: Lot : PARCEL ID . . . . . . . . : MT PERMIT BUSINESS LOCATIO DATE ISSUED. . . . . . _ : O5/05/2�014 RECEZPT # .. . ._ . . . . . : BC000007523 REFERENCE .ID # . . . : 14050031 SITE ADDRESS . . . . . : WORK DONE IN CLIENTS SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SELF OWNED .BUSINESS ADDRESS . . . . . . . . . .. : WORK DONE IN CLIENTS HOMES CITY/STATE/ZIP . . . : CARMEL, RECEIVED FROM . . . . : THERAPEUTIC MASSAGE CONTRACTOR . . . . . . . : GARRISON, MEGAN LIC # MTGARR COMPANY . . _ . . . . . . . : GARRZSON, MEGAN ADDRESS . . . . . . . . . . : 3715 GIFFORD AVE CITY/STATE/ZIP . . . : CICERO, IN 46034 TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- ------------ -`-------- ---------- - - -------- ---------- MT-FEE FLAT RATE 1 . 00 20 . 00 0 .00 20 . 00 0 . 00 TOTAL PERMIT : 20 . 00 0 . 00 20 . 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER -------------- ---------- ----------------- CHECK .20 . 00 1053 ------------ TOTAL RECEIPT �: 20 . 00