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CITY OF CARMEL:.... ZONING/ DEVELOPMENTS RECEIPT ******************************************************************************** 1614060101001000 06090031 23218 09/21/2006 dlittlej S-MART GAS, INC PARCEL ID PROJECT RECEIPT # RECEIPT DATE RECEIVED BY REC'D. FROM TEST106.1 UDF 106.2 NOTES : VELARO - SIGNAGE FEE ID UNIT QUANTITY P-ADLSAMB ACREAGE 1.00 TOTAL PROJECT : METHOD OF PAYMENT AMOUNT CHECK TOTAL RECEIPT : 534.50 ------------ ------------ 534.50 ADDRESS PRINT DATE PRINT TIME OPERATOR COPY # : CASH DRAWER: 3, 116TH ST E 09/21/2006 11:22:09 dlittlej 1 PZ AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- 534.50 0.00 534.50 0.00 ---------- ---------- ---------- ---------- 534.50 0.00 534.50 0.00 NUMBER 24506