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05060111-Receipt/Permit
Item 1 of 1 CITY OF CARMEL PERMIT RECEIPT OPERATOR: twedding COPY # 1 Sec:35 Twp:18 Rng:03 Sub: Blk: Lot: PARCEL ID ... .....: 1609350001018000 DATE ISSUED.......: 06/23/2005 RECEIPT #.........: 18819 REFERENCE ID # ...: 05060111 J BLv/lf SITE ADDRESS ...... 303 CONGRESSIONAL SUBDIVISION ......: CITy.............: CARMEL IMPACT AREA ......: OWNER ............: ADDRESS .... ......: CITY/STATE/ZIP ...: RECEIVED FROM ....: CONTRACTOR .......: COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP ...: TELEPHONE ..... .... FEE 10 UNIT QUANTITY ---------- ------------- ---------- CIICjO FLAT RATE 1. 00 CIINAA SQUARE FEET 43,545.00 ICIIELEMTR FLAT RATE 1. 00 ICIIFINAL FLAT RATE 1. 00 ICIIFTSLB FLAT RATE 1. 00 ICIIFTSLB+ FLAT RATE 1. 00 ICIIROUGH FLAT RATE 1. 00 ICIISITE FLAT RATE 1. 00 TOTAL PERMIT : METHOD OF PAYMENT AMOUNT CHECK TOTAL RECEIPT : 9329.05 ------------ ------------ 9329.05 SPECIALTY RISK INTERNATIONAL 9200 KEYSTONE CROSSING INDIANAPOLIS, IN 46204 DUKE CONSTRUCTION LP LIC # DUKE CON DUKE CONSTRUCTION 600 E. 96T ST. SUITE 100 INDIANAPOLIS, IN 46240 (317) 808-6203 AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- 103.00 0.00 103.00 0.00 8648.55 0.00 8648.55 0.00 96 .25 0.00 96.25 0.00 96 .25 0.00 96 .25 0.00 96 .25 0.00 96 .25 0.00 96 .25 0.00 96.25 0.00 96 .25 0.00 96.25 0.00 96 .25 0.00 96 .25 0.00 ---------- ---------- ---------- ---------- 9329.05 0.00 9329.05 0.00 NUMBER 6213 0