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DOCUMENTS Harnett COUNTY * © fenit, Emergency Services Department v www harnen.ory • moo, Application for Foster Home Application # i - 5Ob4 I I KS . 16./ 4/3/2017 Date Received: Received By: Sharon Campbell Name of Home: 130 Martha's Lane,Spring Lake N.C.28390 Physical Address of Home: Submitted By: Sharon Campbell Home Phone: 910-551 -4324 Contact Person/Address: same Contact Email: boppyroy@hotmail.com Contact Phone: 910-551 -4324 Brief Direction to home from Lillington: A single family home, with five bedrooms, three bathroom, living room and kitchen. All fees must be paid before any inspections can be scheduled. strong roots• new growth HARNETT COUNTY CASH RECEIPTS REPRINT *** CUSTOMER RECEIPT a*a Oper: JBROCK Type: CP Drayer: 1 Date: 4/19/17 52 Receipt no: 322586 Year Number Amount 2017 50841189 138 MARINAS LN SPRING LAKE, NC 28390 B5 BP - FIRE MARSHAL FEES 08 FM FEES SHARON CAMPBELL Tender detail CK CHECK DAMN 531259893 $25.88 Total tendered $25.00 Total payment $25.00 Trans date: 4/19/17 Time: 13:10:45 as THANK YOU FOR YOUR PAYMENT **