Larry Gillingham
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. Operations Engineer Date
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' RECEIPT SUMMARY
TRANSACTION NUMBER: T9301818 DATE: 09/29/93
APPLTCANT: DOROTHY GILLINGHAM PHONE=
ADDRESS: 1707 S AIRPARK DR
VERADALE WA 99037
CONTACT NAME: DOROTHY GILLINGHAM PHONE=
TRANSACTION: DESIGN DEVIATION-APPROACH
DOCUMENT ID: 1) 2) 3)
4) 5} 6)
FEE & PAYMENT SUMMARY
ITEM DESCRIPTION QUANTITY E'EE AMOUNT
PERFORMANCE BOND: OTHER 30 30.00
TOTAL DUE = 30.00
TOTAL PAID= 30.00
BALANCE OWING= .00
PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT
09/29/93 00010442 3785 30.00
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PROCESSED BY: KATHY SQUIRES
PRINTED BY: KATHY SQUIRES
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