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Receipt 6-24-04
CITY OF CHANHASSEN 7700 MARKET BLVD CHANHASSEN MN 55317 Payee: LIFETIME FITNESS INC Date: 06/24/2004 Time: 12:38pm Receipt Number: DW / 5182 Clerk: DANIELLE LIFETIME FITNESS 04-22 ITEM REFERENCE AMOUNT DEVAP LIFETIME FITNESS 04-22 USE & VARIANCE SIGN RENT PLAT RECORDING SIGN ESCROW 4,220.00 75.00 420.00 100.00 Total: 4,815.00 Check 179688 4,815.00 Change: 0.00 THANK YOU FOR YOUR PAYMENT!