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07120002 Receipt/Permit
CITY OF CARMEL Item I of 1 PERMIT RECEIPT OPERATOR: plux COPY # : 1 1 Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID ........: MT PERMIT BUSINESS LOCATIO DATE ISSUED.......: 12/03/2007 RECEIPT 4.........: 26909 REFERENCE ID # ...: 07120002 SITE ADDRESS .....: WORK DONE IN CLIENTS HOMES SUBDIVISION ...... CITY .............: CARMEL IMPACT AREA ...... OWNER ............: MASSAGE ENVY ADDRESS ..........: 1950-10 GREYHOUND PASS CITY/STATE/ZIP ...: CARMEL, IN 46033 RECE'IV'ED FROM ....: MIEKO KIKUBO CONTRACTOR .......: LIC # MTKIKUBO COMPANY ..........: KIKUBO, MIEKO ADDRESS ..........: 19236 FOX CHASE DR CITY/STATE/ZIP ...: NOBLESVILLE, IN 46062 TELEPHONE ........: (317) 774-9739 FEE ID UNIT QUANTITY AMOUNT PD-TO-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 ----------------- CHECK TOTAL RECEIPT : AMOUNT ------------ 20.00 __-----20.00 NUMBER -- -------- 4426