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14060053 Receipt/Permit
CITY OF CARMEL 4 ITEMS OF 12 PERMIT RECEIPT OPERATOR: nmishler COPY # : 1 Sec: Twp: 17 Rng: 03 Sub:455 B1k: 07 Lot : 11PT PARCEL ID . . . . . . . . : 1713070403023000 DATE ISSUED. . . . . . . : 06/12/2014 RECEIPT # . . . . . . . . . : BC000007779 REFERENCE ID # . . . : 14060053 SITE ADDRESS . . . . . : 4004 W 96 ST SUBDIVISION . . . . . . : NORTH AUGUSTA CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : A & A DEVELOPMENT CORP ADDRESS . . . . . . . . . . : 9699 MICHIGAN RD N CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM . . . . : USA HALLOWEEN CONTRACTOR . . . . . . . : USA FIREWORKS LIC # USAFIRE COMPANY . . . . . . . . . . : USA FIREWORKS ADDRESS . . . . . . . . . . : 7800 RECORDS ST STE A CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46226 TELEPHONE . . . . . . . . : (317) 546-8522 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --------- ------------- - -- --------- ---------- --------- — CIIC/O FLAT RATE 1 . 00 128 . 00 0 .00 128 . 00 0 . 00 ICIISITE PER INSPECTIO 1. 00 119. 00 0 . 00 119 . 00 0 . 00 SIGNPERM FLAT RATE 1 .00 95. 50 0 . 00 95 . 50 0 . 00 TEMPUSE FLAT RATE 1 .00 320 . 50 0 . 00 320 . 50 0 . 00 ---------- ------ ----- TOTAL PERMIT : 663 . 00 0 . 00 663 . 00 0 . 00