Laserfiche WebLink
I <br /> 1 <br /> (‘C' 6.4 <br /> "I }; ,, Request for Reprint of Oversized Documents <br /> ����' ` :�; ,I��� or Building Plans and Blueprints <br /> CEsHO4 <br /> Date of Request: - ,2/-" ., <br /> Document Address: / C tb <br /> Name: gAS.-) _ \ SQ Ai <br /> ) , ......_- <br /> Address: � S Ci Vk �! (/ k L <br /> City: (J 0") State: /v'4' Zip: ?>i <br /> i <br /> Phone: 67- .01 — <br /> (Work) (Home) <br /> Description of document(s) to be reprinted: 1- (( (( L I-" IC( /--) <br /> CHARGES: All charges must be paid at the time of the request, and are non-refundable. <br /> Requests must be picked up at the City offices unless other arrangements have been made. The <br /> charges for reprints of oversized documents and building plans/blueprints are based on the <br /> following: <br /> 62 (,. 00 <br /> Cost of Prints: <br /> Special Handling Fee: .' a 5.60 <br /> Pickup/Delivery Fee ti. /a 00 <br /> Subtotal /03 0C <br /> 6.5% Tax (prints/handling/delivery): -- �- ) 6 . 70 <br /> Clerical Fee <br /> ,5 o a <br /> POofOrono 'It/7(7, 7 D <br /> P.O. Boo x 66 <br /> Crystal Bay MN 55323 <br /> (952)249-4600 <br /> 03/21/06 15:52:11 /;` // <br /> . . <br /> - ;!' r <br /> Customer: REPRINTS 2850 WEAR CR ,7 ( 'gnatur <br /> GENERAL TAXABLE SALES - <br /> 1 B 114.70 114.70 +TX <br /> SUBTOTAL 114.70 <br /> TAX 0.00 <br /> TOTAL SALE 114.70 <br /> Check Received 114.70 <br /> CHANGE 0.00 y,P.O. Box 66,Crystal Bay,MN 55323 <br /> CLERK* 02 TRANS* 27611 Fax: 952-249-4616/www.ci.orono.mn.us <br />