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19080019 Receipt
CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # : 1 ________________________________________________________________________________ Sec: Twp:18 Rng:03 Sub:022 Blk:24 Lot:7 PARCEL ID ........: 1609240104007000 DATE ISSUED.......: 08/21/2019 RECEIPT #.........: BC000018254 REFERENCE ID # ...: 19080019 SITE ADDRESS .....: 524 CEDAR LAKE CT SUBDIVISION ......: CEDAR LAKE CITY .............: CARMEL IMPACT AREA ......: OWNER ............: SHUGARS, JIMMY ADDRESS ..........: 524 CEDAR LAKE CT CITY/STATE/ZIP ...: CARMEL, IN 46032 RECEIVED FROM ....: *FAMILY LEISURE CONTRACTOR .......: *FAMILY LEISURE LIC # FAMILEI COMPANY ..........: *FAMILY LEISURE ADDRESS ..........: 11811 PENDLETON PIKE CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46236 TELEPHONE ........: (317) 823-4448 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IRESBNDGND PER INSPECTIO 2.00 144.00 0.00 144.00 0.00 IRESFINAL PER INSPECTIO 1.00 72.00 0.00 72.00 0.00 RESC/O FLAT RATE 1.00 69.00 0.00 69.00 0.00 RESPOOL SQUARE FEET 504.00 417.44 0.00 417.44 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 702.44 0.00 702.44 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 702.44 1332 --------------- TOTAL RECEIPT : 702.44