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CITY OF CARMEL
ZONING/ DEVELOPMENTS RECEIPT
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PARCEL ID
PROJECT
RECEIPT #
RECEIPT DATE
RECEIVED BY
REC'D. FROM
TEST106.1
UDF 106.2
NOTES : RIVERVIEW MEDICAL GROUP
1610'310000027005
05040021
18085
04/22/2005
pbabbitt
SIGN CRAFT
ADDRESS 205 CARMEL DR E
PRINT DATE 04/22/2005
PRINT TIME 11:13:34
OPERATOR pbabbitt
COpy # : 1
CASH DRAWER: PZ
FEE ID UNIT QUANTITY
P-ADLSAMS FLAT RATE
P-ADLSAMS+ SIGN
TOTAL PROJECT :
METHOD OF PAYMENT
1.00
1.00
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
257.50 0.00 257.50 0.00
51.50 0.00 51.50 0.00
---------- ---------- ---------- ----------
309.00 0.00 309.00 0.00
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
309.00
6082
------------
------------
309.00