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07100162 Receipt/Permit
CITY OF CARMEL Item 1 of I PERMIT RECEIPT OPERATOR: plux COPY 4 : 1 Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: MT PERMIT BUSINESS LOCTION DATE ISSUED.......: 10/25/2007 RECEIPT 4.........: 26635 REFERENCE ID 4 ...: 07100162 SITE ADDRESS ..... SUBDIVISION ...... CITY .............: IMPACT AREA ...... SELF OWNED BUSINESS OWNER ............: SELF OWNED BUSINESS ADDRESS ..........: WORK DONE IN CLIENTS HOMES CITY/STATE/ZIP ...: CARMEL, IN RECEIVED FROM ....: MASSAGE CONTRACTOR .......: LIC # MTGINEAN COMPANY ..........: GIVES, ANDREW ADDRESS ..........: 7705 CREEKSIDE CT. CITY/STATE/ZIP ...: FISHERS, IN 46038 TELEPHONE ........: (317) 577-0757 FEE 1D UNIT QUANTITY AMOUNT PD-TC-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---- MT-FEE FLAT RATE 1.00 20.00 0.00 20.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 20.00 0.00 20.00 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ----- --- CHECK 20.00 1001 TOTAL RECEIPT 20.00