MS-2014-02129_0001.tif CITY OF BLAIR, NEBRASKA
2606 10/31/14 j
Vendor Number aim ate
ANTHONY PIKE
2307 WASHINGTON ST
L e BLAIR NE 68008 er
tion
Account Number Description
BUILDING PERMIT DEPOSIT REFUND
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01 002 2450 MS -2014 2129 50.00
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Originally Sent to Cardinal Mfg Co. Ck #29885 9/8/14 j
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s/been refunded to owner not contractor
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Total $ 50.00 j
I do solemnly swear that the above is true and correct to the best of my knowledge.
Subscribed and sworn to before me this 24th day of October, 2014.
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P Frahm City Treasurer
Finance Committee Approval:
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