Irby Addition-150218Bank of America
T H E - C I T Y - 0 F
COPPELL
P.O. Box 9478 - Coppell, Texas 75019 - 972-304-3679
Engineering/ Enviromental Health
Name Aftm [VLLh(,o --- .2 -
Service Address uyn "_ Em in i,ea
Phone Number
Date Cash - Check No. 4 _q: � z
Service
Food Permit
Pool Permit
Waste Hauler Permit
Temp. Event Permit
Construction Inspection Fee
Roadway Impact Fee
ROW Use Permit
Street Cut Permit
31; 7 --TOTAL
Cashier's Check
Received By
No. 1654502034
Notied to'purchaser-Tn the evenEtKat thts eheckiS list misplaced ori fi
V&&After 00 ayj�,�` 'jo 4' 'Date 02/1
'15 11:31.28 AM
stolen' a sworn statement and 9G -day waiting periodwill be rcq.ircd",,� 8/
prior to repi acernent This check should be negotiated within 90 dayt.,
NTX
HIGHWAY 121 AND DENTON TAP
0007 0005487 0048
NINEf)o
Pay
BANK OF
Or�>�AMERIICA E4 t eT T� T H& CTSCTS ***$179289.00
To The CITY OF COPPELL
Order Of
fRBY ADDITION PH. 2
Remitter (Purchased By): RAMDORA B. SLNKAVALLI
Bank of America, N.A.
SAN ANTONIO, TX AUTHORIZED SIGNATURE
THE ORIGINAL DOCUMENT HAS A REFLECTIVE WATERMARK ON THE BACK. N HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENTS.