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ReceiptINVOICE (INV-19-00015450) FOR THE CITY OF COPPELL TEXAS BILLING CONTACT Josh Barton G&A Consulting 111 Hillside Dr Lewisville, Tx 75057 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-19-00015450 02/21/2019 02/21/2019 NONEPaid In Full REFERENCE NUMBER FEE NAME TOTAL USE19-02-000310 Special Use Permit Fee (Non-Refundable)$312.50 Special Use Permit Fee (Refundable)$312.50 $625.00 SUB TOTAL140 S Heartz Rd Coppell, TX 75019 TOTAL $625.00 REMITTANCE INFORMATION City Of Coppell P.O. Box 9478 Coppell, TX 75019 Page 1 of 1March 20, 2019 255 Parkway Boulevard, Coppell Texas 75019