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Receipt
~' ~TY OF CARMEL ~ ZONING/ DEVELOPMENTS RECEIPT PARCEL ID : 1609250802009000 PROJECT : 04120017 RECEIPT # : 17213 RECEIPT DATE : RECEIVED BY : REC'D. FROM : TEST106.1 : UDF 106.2 : 01/21/2005 ctingley DAVID J BARKER PC ADDRESS : 656 RANGE PRINT DATE · 01/21/2005 PRINT TIME : 10:54:06 OPERATOR · ctingley COPY # : 1 CASH DRAWER: PZ LINE RD N NOTES : TICKLE YOUR FANCY ADLS AMEND FEE ID UNIT QUANTITY P-ADLSAMS FLAT RATE 1.00 P-ADLSAMS+ SIGN 1.00 TOTAL PROJECT : METHOD OF PAYMENT AMOUNT AMOUNT PD- TO- DT 250.00 0.00 50.00 0.00 300.00 0.00 NUMBER CHECK 300.00 1483 THIS REC 250.00 50.00 300.00 NEW BAL 0.00 0.00 0.00 TOTAL RECEIPT : 300.00