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05-0058 Invoice Eng Rev Fee Meters 06292006
°~ ~~~ City of Yelm Invoice No. CDD-06-0173 Community Development Department lNVOI CE - - Customer Name George Hom _ Date /29~/ Address 2218 Blossomwood Order No. S116-05-0058-YL --- ----. _ _-- --- - City Olympia_ __ _ State WA ZIP 98502 Rep Green Village -- ---- -- - - -- Phone FOB - - - - - - - - - _.._ --- --- -~ -- - - - --- - - ---- --- ---- - --- ~ - --- -- - - -------~- - _.. Description Unit Price ; TOTAL ~ - - - -- - ----- - - - - - - ... _. - - - . . . . --- - 1 Engineering Review Fees /O $3,888.00 ^ $3,888.00 2 1.5" irrigation meters ~~ 1~ $650.00 ' $1,300.00 1 5/8" domestic meter ~ 1 Z $300.00 . $300.00 1 domestic meter deposit ~ ~ Z $90.00 $90.00 1 sewer connection fee ~0 2, $5,569.00 $5,569.00 1 sewer inspection fee ~~ 5 $145.00 $145.00 -- -- - _- ---- ---. - - - - ----- - _ SubTotal $11,292.00 Payment Details Shipping & Handling $0.00 ~ Cash Taxes WA O Check ~ __ _ _ O ~ TOTAL $11,292.00 ~-~ - -- - --_ ---- .- -- - ~~~ ,/ ... -- -:- -_-- - -- - -- -- ~~ ~ : ~~fT~~ CITY~..OF,. , ,r. i . ' t~ r 't ~ ~ t - y. r t . r i . -,YELM ~ ~ ~ . ~ - ~- . . - . . ~ . -:. . ,' .^ C' : 4,^, •r ' { P.O. Boz 479 , . ' ~ . , ~~ " . Yelm, wA, ssssz { -: ~ RECEIPT Na~4 2 6 9 0 ~.e. 360 45&8403 ~~ ' r.' f; i, ~ f. . . , 1 j , p, ~ ' j ,. .. . * . _ ~ , . , . . . .. ~ ~:^ .,, r r. . . . ' ' . . " ~,^1 , { J RECEIVED ~ -4~ ,~ ~.~ ~,a . . ~. . ,_ - `~'' "'"'.'"*ELEVEN ~THOUSAND TWO: HUNDRED NINETY TWO DOLLARS & 00v;C1~NTS ~: ~ ~~°'~° ~ ~ ?~,i~j_:': ~~). `,3iTJv c~;. ~~ ~ Q ~t *~ . . ti'~ ~ . ,; e~ ~ '- ti~ ~ ~.>E ~~ ~;: ` ~-.:tiati . ~+.~ ~ ;"~ t'.. ~'~~'- ~ . ~RECEIVED FROM , " ; '~~DATE ~ ~ } ' y REC. NO: ""AMOUNT ,: `' `' `~ ~ :' REF. NO.' ` ~ _ . . . ~ • ~ . ~ . '' . . . ' • . . ' ~ !~ • - • . . . . . _ . OLYNPIA.'FEDERAL~.SAVINGS~~ ~~7/ll/06 ~42690.;' 11,292.00 CHECK '~.4489148 . ,, :, .. .. .. .; . F01t BELLA HOU3A.; VILLAGE :.,:, _ ~. . ,_:..,;: : '~' .` ~ • . . ......•., ....,,.. .:.:._._. ~~ . . CDD-06-0173 . , . ~ ~ BUDGETARY. ' ~ ~ ~-'' ; . . . , , . :. . ,. ; . - . .. . . . ' ' . . ~ . ' 1fTf~LfL~T T L~ ~ . . , - '. ' . - , . - . . ., , o ENG 3888.00.IRRIG 1300.00. DOH HET 300.00, NET DEP 90.00, L~E7Rf AA~~ww www ~~.~w ww ww~~ ~.~~~ ~~~ ~~~ ~~