HomeMy WebLinkAboutPayment Receipt - Road Impact FeesFor reference when entering into NWS
"or
STUDY AREA
AKA ROAD IMPACT FEES)
_ Gdzr•J Id Courzry
REVENUE DEPOSIT FORM
YEAR 2016 REVENUE CASH & CHECKS
REVENUE COI]
REVENUE CODE DESCRIPTION
TSA 1
STUDY AREA #1
TSA 10
STUDY AREA #10
TSA 11
STUDY AREA #11
TSA 2
STUDY AREA #2
TSA 3
STUDY AREA #3
TSA 4
STUDY AREA #4
TSA 6
STUDY AREA #6
TSA 8C
STUDY AREA #8C
TSA 8D
STUDY AREA #8D
TSA 8E
STUDY AREA #8E
TSA 8F
STUDY AREA #8F
TSA 8G
STUDY AREA #8G
TSA 9
STUDY AREA #9
BANK ACCT
CHECKS: $ 1389.70
RECEIVED FROM:
NEW WORLD SYSTEMS ACCT #
Sub
Fund Dept Dept
Acct #
$ Amount
128 28 161
3400
128 28 170
3400
128 28
171
3400
128
28
162
3400
128
28
163
3400
128
28
164
3400
128
28
166
3400
128
28
168
3400.800
128
28
168
3400.804
$1,389.70
128
28
168
3400.808
128
28
168
3400.812
128
28
168
3400.816
128
28
169
3400
1,389.70
CASH: $
BECKY WHEELERSBURG
DATE: MAY 6, 2016
THE MULT1-TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY FROM BLUE TO RED TO BLUE, LEFT TO RIGHT AND CONTAINS A HIDDEN MESSAGE "VOID' wHEN Pv43YDCDPL€D_
LAND TITLE GUARANTEE COMPANY
1317 GRAND AVE #200, GLENWOOD SPRINGS, CO 81601 970-.945-2610
��� Closer bbtancha Escrow No. 63010061
Land [yr e
Title No. Gu63010061
PAY *** One Thousand Three Hundred Eighty Nine and 10/10O4*
TO
THE
ORDER
OF
GARFIELD COUNTY TREASURER
1088TH ST#401
GLENWOOD SPRINGS, CO 81601
—ROA -D iMPAC-T FEE LOT 62, PHASE 4
*IC
Tc rlc9.- J al Har. 1sre.hfa¢caQ A.11 -i re ucwr. aaax
12-340
1021
1400
Mack Number
156461
ALPINE BANK
GLENWOOD SPRINGS, CO 81601
05-04-2016
DATE
VOID AFTER 100 DAYS
ANf11 INT
$1,38930
LAND TITLE GUARANTEE COMPANY
ESCROW ACCOUNT
s
IYFY. ri SYN 1 I.Sd.rl".Yn vnar