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Teleport Communications-CS130723 (2) T H £ • C I T Y - 0 F COFFELL � tD As i s RIGHT-OF-WAY MAINTENANCE USE FEE Ordinance No. 2(341-944, Sec. 6-14-3. . Registration expires March 1 of every other year after the calendar year in which the first registration occurs: If registration is not renewed by the expiration date after written notice fives dm grit,áP''*f' povirkr will beamed to hew been legally abandoned. Service Provider(inchale any a name provider°maim u 1a oasts under fare S years) Te-L 'Ofer 1'Y1 n1 UN 1 e M 1(l. j OrA Gz- S City of Owen License Ordinance Contact Naines/Numbers Try vNAL5cw-A - '1 r 3-S36 " 1 Lto 8 f r' v n kPc g12-- S -3 - t1 1c Contractoi(s)Nan Contact Information Eminency C o n t a c t cV - q-1 ? -C2-3 --9 41 c Liability Insurance Carrier O 1.-p etfobile, k N sisAmaE, (Sec. 6-14-3 )) Attack coverage plans of Record provided W: ii®4ii.*w, liar • i • Y N Deft.korc For proposed facilities i Y N Forward registration form and fee to Engineering D it., City of Loppely 255.1iwirmsy Med.Oliva T 79319 For office ass autt 140 on Fee of$250.00 pad 1 123 I /3 Receipt No. f1.67o6 Bank of America 55 ACH R/T 111000025 TECH GROUP&ASSOCIATES 32, 924 WINDBELL CIR STE A 972-613-0881 MESQUITE, TX 75149 7/22/2013 PAY TO THE Engineering Dept. City of Coppell I $ **250.00 ORDER OF Two Hundred Fifty and 00/100*****, *,E***********,E,t*,t**,*********,*******.,k*********************.******YrAk*******,k,******* D( Engineering Dept. City of Coppell 255 Parkway Blvd. Coppell, Texas 75019 MEMO AUTHORIZ'. SIGNATUHE TECH GROUP&ASSOCIATES 55 Engineering Dept. City of Coppell 7/22/20.13 Date Type Reference Original Amt. Balance Due Discount Payment 7/22/2013. Bill 250.00 250.00 250.00 0.00 CASH 7/23/13 096706 RECEIPT Date Received From -re G.P41 -T CO l-AI E i I CATION S 4 �(✓'Eke L.L-C > o 6r-cc—el Y Gteo ILf Assca/A- w cu Address o m( 8 '724/ G T/A B G-L-L'17 /''I E5Q60 7X 75/wi ars$ 2 S D 0 o -N For 1-&z, --CO/V1 -L''G PpJ2V/P 7zEGfcTOZA-T/o/v 3� pa N ACCOUNT HOW PAID AMT OF - ACCOUNT q CASH /y Ban!° AMT PAID 4/250,Q-Q CHECK C BALANCE MONE'ORDER❑ s\—� By ' 0.0 Ali DUE : CREW CARD ._. .. _, .. .J