Loading...
RECEIPTS Ida E - tI t.. L_11,ngteni.NC �jpe5 ;, Telephone: 172-89 --7585 HXa TALE SLIP t,* DPee, 12/3117.5 Type' CP I r, 1/14/17 SE Receipt n1: 956 1:rch ID it: Se`; v0. loE71,8 Cr,,,_. refit: 1502 [tad -U: xr.xsyxaxaa 9:2993A1.7 lard type: VISA CARD Oath code: 328258 fate: 11/14/17 Time: 73:13:29 Payment total: 3.S5,NN CARDHOLDER ACKNOIILED1ir.5 RECElpi 5F 130!4115 PID/OR SERVICES IN THE 4100aT OE TH° 1HE 6TAL SHOWNIHEREON AND AGREES 1 :i-.n'ORY, SET HOLDER'S A6REE.11EyJWITH THEN TEE ,A,C-_ �� RTH r .33UE.7. • Signature: HARNEiT COUNTI CASH YECEi;%TE :ax CUSTOMER RECEIPT rxa Ieper: J KOC4; Date: it/14,17 52 Receipt TPr,:Dya151i59 Year Humber 221T 51304645 Amount ,3 HENDESSOH DR ItUOTFR, MC 27554 NI HF - PERMIT TEAS Sb!1N 1154.14 Pd ILI_I'i NCtp 'ender dotal: Ip CRED1; CARD Total tendered >I50.NA fetal payment 3156.L19 $159.00 Tr':t date: 17.'44/17 Time: 13:15:29 '^ iilAh'h YUU FOR YC9R PAYMENT ax