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CHECK REQUEST
Vendor No. Date APRIL 9, 2019
(for Administrative Services Only)
Pay to: KINGSLEY RANCHO LLC
711 S FIRST AVE
ARCADIA CA, 91006
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Account No. Amount
714-2275
$ 1,980.00
$
$
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TOTAL $ 1,980.00
Reason for payment. (PLEASE SUBMIT BACK-UP IN DUPLICATE) I
Please process a refund to the above recipient (Demolition Bond)
925 KINGSLEY DR
Permit: B00-058-242
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1:1 Check by:Check here if check is to be /Vil i
returned to Department. Department: BUIId' at
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