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Kit -Utas County Office Of The Treasurer <br />Deaairna Jo Pwmttotti, Treasurer <br />205 W 5131 kvenue., Suite 102 <br />'----- <br />Dkmburg, Wa 98926 <br />Phone (509) 96:2-'; 535 Fax (509) 933-8212 <br />Cash Suspeo)se <br />Receipt Nmiiber: 2010-4477 Date: 10/04,12010 <br />RecQived From: JULIE KJORSVIK/COMMISSIONFRS OFFICE <br />Check. A€note w <br />$200-00 <br />Cash A€liOkmv <br />$0.00 <br />Eft 1'.moiim: <br />$0.00 <br />Total Amomit: <br />$200.00 <br />Deputy: JULIEK <br />Receipt Type: CHK <br />TemplMe: COMMISSIONFR: <br />COMMISSIONERS <br />Commesits: <br />SPECIAL EVENT PERMIT APPLICATION FEE - AMERICAN CANCER SOCIETY - CLIMB TO CONQUER CANCER AT <br />MANASTAS14 RID(:,E ON OCTOBER 10, 2010 <br />FtmdCode GICode Desai tion Amount <br />001 1632171 SPECIAL EVENT APPLICATION FEE $200.00 <br />"vital Amo int: $200.00 <br />Kittitas Comity Treasurer's Office <br />Submitted By:.IULIE KJORSVIK <br />(e) 2002 C:ashtax All Rights Reserved www.balancedaction com <br />