HomeMy WebLinkAboutReceipt~ CITY OF CARMEL ~
ZONING/ DEVELOPMENTS RECEIPT
PARCEL I D
PROJECT
RECEIPT #
RECEIPT DATE
RECEIVED BY :
REC'D. FROM :
TEST106.1 :
UDF 106.2 :
: 1609240404002000
: 04120013 ADDRESS :
: 16989 PRINT DATE :
PRINT TIME :
· 12/21/2004 OPERATOR ·
COPY # :
dpattyn CASH DRAWER-
DAVID KRISTOFF DDS
255 RANGE LINE RD N
12/21/2004
10:33:33
dpattyn
1
PZ
NOTES : 04120013 ADLS AMEND 1040 N RANGE LINE ROAD
FEE ID
P-ADLSAMS
P-ADLSAMS+ SIGN
TOTAL PROJECT :
METHOD OF PAYMENT
CHECK
UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
FLAT RATE 1.00 250.00
3.00 150.00
400.00
AMOUNT NUMBER
400· 00 154169469
0.00
0.00
0.00
250·00
150·00
400.00
0.00
0.00
0.00
TOTAL RECEIPT : 400.00