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14070089 Receipt/Permit
I' CITY OF CAAMEL ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: plux COPY # : 1 Sec :�25 �Twp: 18 Rng: 03� Sub: Blk: Lot: PARCEL ID . . . . . . . . : 1609250000014000 DATE ISSUED. . . . . . . : 07/18/2014 RECEIPT #. . . . . . . . . : BC000007995 REFERENCE ID # . . . : 14070089 �SITE ADDRESS . . . . . : 626 S RANGE LINE RD SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . : CRO OWNER . . . . . . . . . . .. . : LAWHEAD, JESS ADDRESS . . . . . . . . . . : 622 S RANGE LINE RD CITY/SPATE/ZIP . . . : CARMEL, IN 4�6032 RECEIVED FROM . . . . : SCHOOL OF ROCK� CONTRA@TOR . . . . . . . : SCHOOL OF ROCK LIC # SCHOROC COMPANY . . . . . . . . . . : SCHOOL OF ROCK ADDRESS . . . . . . . . . . : 626 S. RANGE LINE RD. CITY/STATE/ZIP . . . : CARMEL, IN 46032 TELEPHONE . . . . . . . . : (317) 538-5097 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- --- — ---------- --------- ------- -------- --------- SPECEVENT FLAT RATE 1 .00 160 . 00 0 . 00 160 . 00 0 .00 TOTAL PERMIT : 160 . 00 0 00 160 . 00 0 00 METHOD OF PAYMENT AMOUNT� REFERENCE NUMBER -------------- ------------- -------- - CHECK 160�. 00 1251 ------------ TOTAL REC&IPT : 160 . 00