HomeMy WebLinkAbout1.03 ReceiptRECEIPT
Garfield County
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Phone: (970)945-8212 Fax: (970)384-3470
Invoice Number: INV -7-13-22530
Invoice Date: 26/2013 12:00:OOAM
Pian Case: Major Impact Review Applicati
Fee Name Fee Type
Fee Amount
PAY TO TH
ORDER 0
Major Impact Application Fee
Fixed
$525.00
Total Fees Due: $525.00
Date Pay Type Check Number Amount Paid Change
07/26/2013 Check
1687 $525.00
$0.00
Total Paid:
$525.00
Total Due: $0.00
THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.
Green Essentials Medical, LLC
Ph. 970-230-9057
404 10th Street
Glenwood Springs, CO 81601
Bank oi America
63-27/631 FL
90899
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