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CITY OF CARMEL
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ZONING/ DEVELOPMENTS RECEIPT
********************************************************************************
999000000003611
06110011
23809
12/05/2006
PARCEL ID
PROJECT
RECEIPT #
RECEIPT DATE
RECEIVED BY
REC'D. FROM
TESTI06.1
UDF 106.2
NOTES : MAX AND ERMAS ADLS AMEND.
Idevore
MAX AND ERMAS
FEE ID UNIT QUANTITY
P-ADLSAMB ACREAGE 1.59
TOTAL PROJECT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
619.57
------------
------------
619.57
ADDRESS
PRINT DATE
PRINT TIME
OPERATOR
COPY # :
CASH DRAWER:
12195 MERIDIAN ST N
12/05/2006
11:52:5~.
Idevore
1
PZ
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
619.57 0.00 619.57 0.00
---------- ---------- ---------- ----------
619.57 0.00 619.57 0.00
NUMBER
00406289
..." ... ~...
REQUEST TO: Anna Decker
DATE: NOV. ~C, GODin
Max & Erma's
Check Request Form
REQUEST FROM: ~{jt W /:ler1ler
DATE CHECK NEEDED: P Oe,
CHECK AMOUNT: $ ----.lil ~. 51
rnECKPAYABLETO: ~~~2:~~
MAILING ADDRESS: f.; 5 U J
~Y)d',iV)2. 4Lo03~.
D en 'I
PHONE # (area code):
REASON FOR CHECK:
5ee~ ~tt.Uh pJ
Circle One
C - Corporation, Non-Profit, Inc., LLC
N - Company, Partnership, LTD., LLP
e~' Sole-Proprietor
Circle One
Monthly Statements: YE~
(WE REQUEST MONT1ii:f
STATEMENTS IN ADDITION
TO INVOICES SO THAT WE CAN
RECONOLE TBE ACCOUNT
FOR MISSING INVOICES).
FEDERAL II> #:
BACK-UP INFORMATION ATI ACHED?
@
No
Vendor #
-09
Date:
Invoice:
Company #
Account #
Description
Amount
1.
2.
3.
A
J
/
Invoice Total
MAlL CHECK TO ABOVE ADDRESS With back up info Without back up
irc1e One)
GNE CHECK TO PERSON REQUESTING