PL-2013-00074_0001 (2).tif CITY OF BLAIR
218 S 16TH ST Invoice Number: 2117
BLAIR, NE 68008
Invoice Date: 3/25/13
tse of Page: 1
Voice: 402/426 -4191 j
Fax: 402/426 -4195
Bill To: PLUMBING SPECIALTIES
14921 EDNA ST
OMAHA, NE 68138
Customer ID: PLUMBING
SPFC`.IAI TIFF
Customer0 Qayme'nt Terms, , , ; ;Sales Rep, iD Due Dafe
Due at end of Month 3/31/13
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Descnpfion " Amount
RE- INSPECTION FEE FOR 947 PHEASANT CIR / PERMIT # PL- 2013 -00074 65.00
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Subtotal 65.00
Sales Tax
Total Invoice Amount 65.00
Check /Credit Memo No: Payment /Credit Applied
`T®TAL _ 65:00,