Receipt for PaymentCITY OF CHANHASSEN
P O BOX 147
CHANHASSEN MN 55317
08/22/2016 10:04 AM
Receipt No. 00324523
CLERK: AshleyM
PAYEE: Providence 55 LLC
6102 Olson Memorial Highway
Golden Valley MN 55422
9250 Great Plains Blvd
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Lot Line Adjustment 150.00
Overpayment -Refund 50.00
Total
Cash
Check 1128
Change
200.00
0.00
200.00
0.00