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CITY OF COST ON - BUCK SLIP <br />TO: FINANCE/CASHIER DATE: %1- /4- <br />FROM: PUBLIC WORKS DEPART MENT - ENGINEERING DIVISION <br />ACCT #/CODE DESCRIPTION AMOUNT <br />100-5407 J 3185 <br />OVERSIZED LOAD PERMIT NO. <br />100-5429 / 3170 <br />S> -RE= ii IMPROVE PERMI7 NO. <br />100-5430 / 3165 <br />STREEii CUT PERMIT NO. <br />t <br />100-6702 / 3120 <br />PLANS, SPECS, MAPS & SANDARDS <br />249-7626/ 9677 <br />iRArFIC IMPACTION FEE <br />6 ACL 0 <br />249-7826 / 000 <br />TRAFFIC SIGNAL CONTRIBUTION <br />100-6708 / 3106 <br />PLAN CHECIQNG FEES <br />$ <br />762-2210 / 000 <br />SALES TAX <br />$ <br />100-7825 / 3175 <br />STREE i� TREES <br />$ <br />762-2360 / 9997 <br />REIMBURSEABLE <br />457- <br />STORM DRAIN <br />$ <br />OTHER <br />$ <br />70-1 AL AMOUNT <br />OF RECEIPT <br />CUSTOMER NAME & ADDRESS <br />Gtr/�LL C��S��FN7' J M S �4omr'S <br />T /r t Z6- �- rv.9s.v.., r�:s.� <br />RECEIPT No. o 3 69 *3/y <br />71 �- � �.v ���N� �v�i✓r�E, <br />