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Orange County Health Department <br /> Environmental Health Division <br /> P.O.Box 8181,306-C Revere Road <br /> Hillsborough,NC 27278 <br /> Phone 919-245-2360 Fax 919-644-3006 <br /> www.co.orange.nc.us <br /> �..Ste- ar o <br /> d <br /> RECEIPT <br /> RECEIPT NUMBER: R05-001999 TMBL: 355..4 <br /> To: CAMP CHESTNUT RIDGE <br /> APD#: CA05-00228 <br /> TYPE: Construct Authorization <br /> SITE ADDRESS: 4300 CAMP CHESTNUT RIDGE RD OCPL <br /> PARCEL: 9843137930 <br /> TRANSACTION DATE: 06/07/2005 TOTAL PAYMENT: 160.00 <br /> TOTAL PAID FROM CURRENCY: 160.00 <br /> TRANSACTION LIST: <br /> Type Method Description Amount <br /> Payment Check 2265 160.00 <br /> Total : 160.00 <br /> ACCOUNT ITEM LIST: <br /> FEE DESCRIPTION ACCOUNT CODE CALCULATED FEES <br /> HEALTH FEES - SEPTIC IG3410181-XH 160.00 <br /> Total : 160.00 <br /> Balance Due: $0.0 0 <br /> RECEIPT ISSUED BY: STOKES INITIALS: BS <br /> ENTERED DATE: 0 6/0 7/2 0 0 5 TIME: 0 2:4 7 PM <br /> Please retain this receipt for your records. <br /> 226 <br />