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State Farm - Drew Fedreau 18050130
CITY OF CARMEL 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: nchavez COPY # : 1 ________________________________________________________________________________ Sec: Twp: Rng: Sub:249 Blk: Lot:1PT PARCEL ID ........: 1713020408017000 DATE ISSUED.......: 05/22/2018 RECEIPT #.........: PZ000002713 REFERENCE ID # ...: 18050130 SITE ADDRESS .....: 10620 N COLLEGE AVE SUBDIVISION ......: DIXIE HIGHWAY ADDITION CITY .............: INDIANAPOLIS IMPACT AREA ......: OWNER ............: KD FED LLC ADDRESS ..........: 10620 N COLLEGE AVE CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46280 RECEIVED FROM ....: HUSTON ELECTRIC CONTRACTOR .......: HUSTON ELECTRIC LIC # CC00262 COMPANY ..........: HUSTON ELECTRIC ADDRESS ..........: 2723 OLD ROMNEY RD. CITY/STATE/ZIP ...: LAFAYETTE, IN 47909 TELEPHONE ........: (765) 474-6115 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- SIGNINSTAL SQUARE FEET 22.74 85.34 0.00 85.34 0.00 SIGNPERM FLAT RATE 1.00 103.00 0.00 103.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 188.34 0.00 188.34 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 188.34 22996199 --------------- TOTAL RECEIPT : 188.34