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BRES2015-0053tv- �• VOICE (760) 777-7125 78-495 CHLLE TAMPICO LA QUINTA; CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENTINSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the'Business and Professions Code, and my License is in full force and effect. License Cl s: B License No.: 750957 � (�' n c Dater Contractor: [-J(I 1�T rn(Da j lea OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Address: ` (760)969-1400 Llc. No.: 750957 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compe psation, as provided for by Section 37CD of the Labor Code, for the performance of thw k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sec " 700 of the Labor Code, for the perfo -mance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sc as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 37,of the Labor Code,'I shall forthwith comply wi thosprovisions. �� Applicant Date: 01/03 WARNING: FAILURE TO SECURE WORKE S' COMPENSA ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application is hereby made to tle Building Official for a permit subject to the conditions and restrictions set forth on th s application. 1. Each person upon whose behalf this applcation is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, andhthe applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to 1he work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli:ation becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stat aws relating to building - construction, and hereby authorize representatives of this ci o enter upon the above - mention edpNURS,griature spection purposes. Date: (Applicant or Age ): Date: 2/20/2015 Application Number: BRES2015-0053 Owner: Property Address: 46243 ROUDEL LN ROUDEL• VENTURES APN: 600040023 27682 COUNTRY CLUB DRIVT� Application Description: ROUDEL TM 31816 LOT 26 PLAN 2 PALM DESERT, 92211 - Property Zoning: -•=A r a Application Valuation: $182,375.90 i� N c�9 a Applicant: Contractor: - ROUDEL VENTURES G H A ENTERPRISES INC Qm W 27682 COUNTRY CLUB DRIVE STE. � 30=875 DATE PALM DRIVE STIC Ll - PALM DESERT, CA 92211 PALM CATHEDRAL CITY, CA 92234-1747 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the'Business and Professions Code, and my License is in full force and effect. License Cl s: B License No.: 750957 � (�' n c Dater Contractor: [-J(I 1�T rn(Da j lea OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Address: ` (760)969-1400 Llc. No.: 750957 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compe psation, as provided for by Section 37CD of the Labor Code, for the performance of thw k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sec " 700 of the Labor Code, for the perfo -mance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sc as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 37,of the Labor Code,'I shall forthwith comply wi thosprovisions. �� Applicant Date: 01/03 WARNING: FAILURE TO SECURE WORKE S' COMPENSA ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application is hereby made to tle Building Official for a permit subject to the conditions and restrictions set forth on th s application. 1. Each person upon whose behalf this applcation is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, andhthe applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to 1he work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli:ation becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stat aws relating to building - construction, and hereby authorize representatives of this ci o enter upon the above - mention edpNURS,griature spection purposes. Date: (Applicant or Age ): FINANCIAL INFORMATIONDESCRIPTIONS_ ACCOUNT'`'" ,AMOUNT'QTY�,'� `,PAID PAIDDATE BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 .PAID BY METHOD' RECEIPT#, CHECK #' CLTD BY.' Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00 $0.00 .'DESCRIPTION"'- ' ; `` -.ACCOUNT � �; QTY'. AMOUNT � PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 ,PAID BY METHOD ..,RECEIPT #. . - •;CHECK#,'-', CLTD BY,.. DESCRIPTION' �'° ACCOUNT, 'QTYAMOWNT�'PAIDi PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY _ a METHOD . `RECEIPT;# " - CHECK # CLTD BY.' a DESCRIPTION ACCOUNT "' ;QTY AMOUNT'. 'PAID' PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 - PAID BY METHOD v, ='.RECEIPT#!y'. ` '' CHECK#,; 'A `• CLTD BY' DESCRIPTION .$ ACCOUNT QTY ;• AMOUNT,. PAID 'PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 'PAID BY.. METHOD 'RECEIPT,# '�` - -,,CHECK # ; CLTD BY .DESCRIPTION r ACCOUNT"' AMOUNT PAID:- PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 ' :PAID BY :. 'METHOD: •,, R 'RECEIPT,# • a CHECK # CLTD BY DESCRIPTION, �' QTY'.°AMOUNT. • `PAID, . PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 ,. •� `, e�=. PAID BY "..' h METHOD`, .' .. � . ^ . -RECEIPT# � 'CHECK# . ,a�; ` ; CLTDBY, DESCRIPTION ACCOUNT • "� ,, QTY ` `AMOUNT :PAID ;; :PAID'DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 ,a PAID BY METHOD,' . RECEIPT #; ,=ACHECK # CLTD'BY ' DESCRIPTION, ,ACCOUNT. QTY, AMOUNT, 'PAID. PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 ."r PAID BY .m, 1% - r METHOD RECEIPT.#, CHECK#.- .. f CLTD'BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION;` ACCOUNT, - QTY AMOUNT -': PAID. . '" PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 '° a;,.•,_ ° PAIDYBY „ k` .METHOD RECEIPT # .,; CHECK # CLTD BY. Total Paid for ELECTRICAL: $24.17 _ $0.00 {, "DESCRIPTION- ACCOUNT < QTY'' ' ., AMOUNT', '. PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $0.00 PAID BY . METHOD ._ RECHPT#, ::' :` CHECK # ; :: CLTD BY; `.` DESCRIPTION' ' r t.. ". •< ACCOUNT QTY: AMOUNT., PAID._ ,' `., PAID GATE' RESIDENTIAL, FIRST 1,000SF ' 101-0000-42403 0 $145.03 $0.00 , PAID BY ` , .: MMETHOD' �� RECEIPT* CHECK #' "rCLTD BY; = Total Paid forELECTRICAL - NEW CONSTRUCTION: $182.02 $0.00 DESCRIPTIONS -' -ACCOUNT. QTY." AMOUNT, PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 " 0 $36.26 $0.00. . PAID BY,.- 7"< 'METHOD ' `, RECEIPT # .' r� .CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT . , x PAID; . PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 a sPAID BY .-METHOD: RECEIPT #" €: CHECK # CLTD:BY<,. DESCRIPTION,, �' -< ACCOUNT QTY ,AMOUNT. '< . PAID `= r PAID DATE' FURNACE 101-0000-42402 0 $36.26 $0.00 • g, PAID BY METHOD. ` ¢ '.<RECEIPT # � � CHECK # � ��CLTD BY.� DESCRIPTION - • ACCOUNT QTY AMOUNT PAID ..; PAID DATE VENT FAN 101-0000-42402 0 $48.36 $0.00 PAID BY METHOD a RECEIPT # §CHECK #.` CLTD BY; , Total Paid forMECHANICAL: $132.97 $0.00 DESCRIPTION , w . « ; , ' -ACCOUNT QTY AMOUNT °,j PAID ` " PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $0.00 PAID BY " METHOD - RECEIPT #' CHECK #'- .CLTD BY Total.Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00 DESCRIPTION �a' ACCOUNT QTY AMOUNT . • PAID * PAID DATE" NEW CONSTRUCTION PERMIT ti 101-0000-42400 0 $567.55 $0.00 PAIDTBY " t « ;" METHOD .' RECEIPT # u " i' ' .CHECK CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $567.55 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT:, PAID @; ;PAID DATE BACKFLOW DEVICE 101-0000-42401. 0 $12.09 $0.00 :' PAID BY t. . ° ' METHOD, _ RECEIPT '# <_. -CHECK #' ,'e CLTD BY 1 � • fDESCRIPTION a ay , :Y ACCOUNT QTY AMOUNT' PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY ' ,. METHOD,. RECEIPT#' •-CHECK-# v CLTD BY 'DESCRIPTION ACCOUNT . QTY AMOUNT,: �;; _ PAID PAID DATE. FIXTURE/TRAP 101-0000-42401 0 $205.53 $0.00 • " PAID BY'.METHOD RECEIPT CHECK # CLTD BY DESCRIPTION:; `; r `ACCOUNT QTYq 'AMOUNT +' . PAID " PAID DATE GAS SYSTEM, S+, OUTLETS 101-0000-42401 0 $36.26 $0.00 PAID BY w> METHOD `RECEIPT #. ` :°CHECK # f CLTD.BY DESCRIPTIONt++`;� ,, �' ACCOUNT ' °QTY AMOUNT .�� PAID t�" PAID�DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 _ $0.00 �. PAID BY - _ METHOD RECEIPT #.-' CHECK # CLTD BY DESCRIPTION. ACCOUNT- ' , _ ,QTY : f, ` AMOUNT PAID'; _ (PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 t w' PAID BY'. r `: METHOD RECEIPT #, ± _ ,CHECK #' �'. CLTD BY r Total Paid for PLUMBING FEES: $290.15 $0.00 DESCRIPTION' ' f ACCOUNT QTY• "AMOUNT PAID `° PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $23.71 $0.00 PAID BY _ METHOD RECEIPT # . ` a a CHECK # f, -CLTD BY; Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $23.71 DESCRIPTION ` ,; ,"ACCOUNT F + QTY -'AMOUNT PAID PAIDMATE SINGLE FAMILY DETACHED ` 224-0000-20320 0. $1,837.44. $0.00 r :a PAID BY `' METHOD' ; RECEIPT # ., , ti. CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 • 00 1 � • �T Rk � F J�•M v ��y .t�T,e 5 , Of lT" %aaa :.,,.. ,:...:.: r .. . -..... F :x, _ _ .. '. -; z ::, � ' : ... � : a � .., : :.. �2 ..r .x :..... .<,:.�:, � �: n. � �� . +k � � �:�� ': .. ,n .,. .~n. ,:,t,,--.:..:: s..:a,. n...� ;Y,.. .' R .;.:': ^w . . ney:x ,..x- ,a. _:., ,nrF' , xr:-.. .� .: :,iti . ?, na LTD E:di..: ..:!f': xi .. ..G s..Y .... �. 1 . .... .. .... ... x. W:1 x x +,3 in. �.J' y::,z'', 4ia `,jx„�i::. � .: ^.vF...: r-. .i, ...v "i::l,x. �Ri.: " :-�_?H 'y5�, �N.:.vn' & ' .? :. �:g9y�. ':.ct� v ."s. 'J' h 'i?' ..-_..-^.'.:vx '�::c x- :r. �.. v?}ss :.' d.x rsm :2tc.' £._g ,lh, .... .. "�.x. x 5 .. _ .. ...., xt' :.:.x:::� .hr 'AT+.�'. 4.hv y:.,Rnd iie,: 3* ,,A.:. £ 4 :. ,iT'.' '� v.*:. .::,.. r , a'METHOD ¢' PAID BY' �s� PAID PAID DATE RECEIPTS# . x k 000.UNT ti a. DESCRIP q .. 5 :. �£'. .w '.a6 v.�W �,.. i. �.'ka rreY ,i'!fh .�i,:'v:` <. :.lf'da..-��5..@C ,o s�d.4lti�'b35Rbrd..,F,_:��.,, �x�"Cn iry e•�k�"a.if:�..--"v, . .: &::� ska Y,_.,. d'9@L�....'�hi'-:--u+,_..ff:tVt-.. BSAS SB1473 FEE 101-0000-20306 0 $8.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $8,00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200. 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 Total Paid for ELECTRICAL: $24.17 $0.00 RESIDENTIAL, EA 101-0000-42403 0 $36.99 $0.00 ADDITION 1,000SF RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0006F Total Paid forELECTRICAL- NEW CONSTRUCTION: $182.02 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $0.00 SOR EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 Printed: Friday, February 20, 2015 3:01:04 PM 2 of 4 ,117 1«� DESCRIPTION; .ACCOUNT QTY AMOUNT PAID' .a� 'P,AID'DATE� :RECEIPT # CHECK:#. _ METHOD IRT CCTD VENT FAN 101-0000-42402 0. $48.36 $0.00 Total Paid for MECHANICAL: $132.97 $0.00 MULTI -SPECIES RESIDENTIAL 0-8 UNITS g ". t $1,292.00 $0.00 `�,:'' '.".,,.`."•.-" �..-.ice::. '3... L'a'°+Fi�w'�,i''?W ``;;..A"..,3�.?` Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 +n^-'".' .i'::.+-'- �..a#�t: a#� 101-0000-42400 0 DESCRIPTION; .ACCOUNT QTY AMOUNT PAID' .a� 'P,AID'DATE� :RECEIPT # CHECK:#. _ METHOD K, `.. PAID;BY CCTD VENT FAN 101-0000-42402 0. $48.36 $0.00 Total Paid for MECHANICAL: $132.97 $0.00 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0. $1,292.00 $0.00 Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 NEW CONSTRUCTION PERMIT 101-0000-42400 0 $567.55 $0.00 Total Paid forNEW CONSTRUCTION PERMIT: .,$567.55 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $205.53 $0.00 GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 Total Paid for PLUMBING FEES: $290.15 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $23.71 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $23.71 $0.00 SINGLE FAMILY DETACHED 2240000-20320 n $1,R'47." $n M . Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 9Am ImamM Printed: Friday, February 20, 2015 3:01:04 PM 3 of 4 .L� uu' QVr �r 1 t" ��r �•� z` �:,` �' �1 ,r q.M�t -i [,� `� �.� � g"it �y" vii - ��F �,.�..' • "yrs. -* $ - PL LA r *" M F, FA Printed: Friday, February 20, 2015 3:01:04 PM 4 of 4 �� Rol _. .. ;.^' .. , .... .. .. VAttachmen t T `" a .;R REVIEW Tly REVIEWER ::.- a SENT DATE DUE�DATE ,...�^ ... .::c a,.,a,:. _. SUBDIR ... .e . , .:: ,. ,<..,: .,, w v .. . .....: . ,>.: .; .... :::ETR'AKIT:ENABLEM-; FA Printed: Friday, February 20, 2015 3:01:04 PM 4 of 4 �� Rol _. .. ;.^' .. , .... .. .. VAttachmen t T `" a .;R .:>. r ...;.t^.: .. �-e.,... �,F ...:;:c. -'. CREATED .. ..::TM ..... s -:o.. ., ,.... ^t OWNER....'. `:.. ..;.rx, ....:.,.:�,, e>. .� ..-; ".;:'DESCRIPTION ;• .x.,..- ,,;: PATHNAME ,...�^ ... .::c a,.,a,:. _. SUBDIR ... .e ..' , .:: ,. ,<..,: .,, w v .. . .....: . ,>.: .; .... :::ETR'AKIT:ENABLEM-; SCHOOL FEE RECEIPT 2- SCHOOL FEE RECEIPT 2- DOC 2/19/2015 STEPHANIE KHATAMI 0 19-15.pdf 19-15.pdf FA Printed: Friday, February 20, 2015 3:01:04 PM 4 of 4 ��