HomeMy WebLinkAboutORR # 59863MI LTON~
ESTABLISHED 2006
Please note that there Is a 3% Service Fee charged by a third-party company,
Government Window, LLC, to cover the cost of this secure and convenient payment
service. Pay onllne at mlltonpayments.com
Reference:
□ Business License (Company Name) ______________ _
□ Permit (Permit Number/Address) _______________ _
□ Certificate of Occupancy /Completion Fees
(Permit Number/Address) __________________ _
Type of Card (please check one)
G"'Visa
□ Mastercard
Card#
Expiration Date
Security Code (on back, 3 digits)
Full Name (exactly as on card)
Street Address
City, State and Zip
Phone Number
□ American Express
□ Discover
As evid enced by my signature below, I agree to allow the City of Milto n to tender the
amount of my permit to the above captioned Credit Card. I understand that the City of
Milton will issu e a permit con in nt on the a peing approved for payment.
This document will not be kept on file. Once the credit card has been charged, the
document will be destroyed by the City of Milton.
1D,Er1m~~n1r.\r-~,
MllION
Open Records Request Pay ment Receipt Account/License No: 59863 --
' Milton, GA Business/Owner N am e: Mikka Orrick
2006 Heritage Walk Payment Type : Visa, 9473
Milton, Georgia 30004
B!AlillHID I
Payment Method : WEB
Customer Name: II Mikka Orrick
Cardholder Name: Mikka Orrick Thank you for y our pa y ment. You wi ll see two
B ill ing Address: 1122 CAMBRIDGE SQ transactions on your card related to your payment:
City/State/Zip: ALPHARETTA, GA 30009 1) License billed by Milton, GA
Phone #: 770-289-9260
2) Service Fee billed by GovernrnentWindow
Email : mikkab @gmail.com I License Amount: II $17.50 I
Payment Date : 09 /26 /20 19 10 :53:06 AM I Service Fee Amount: II $0.53 I
Payment Clerk: II I Total Paid: II $18.03 I
Confirmation #: 7222719 I
--CUSTOMER COPY --
Request #: 59863
Milton, GA
Request for Public Records
-----------------------------------
Name of Requester (Print): Mikka Orrick -----------------------------
Address: 612 Easy Goer Ln, Milton, GA 30004
Phone : 770-289-9260
Email : mikkab@gmail.com
Pursuant to Georgia law, I am formally requesting to inspect these specific public records :
MEP building plans for I Love NY Pizza located at 980 Birmingham Rd. Milton, Ga 30004
I agree to pay any copying and/or administrative costs incurred in fulfilling my requests to the extent
permitted by Georgia law. Such costs may include copying charges of $.10 per page and administrative
charges for search, retrieval, and other direct administrative costs. Administrative charges shall not exceed
the salary of the lowest paid full-time employee who, in the discretion of the custodian of the records, has
the necessary skill and training to perform the request.
A written response to this request will be sent no later than three business days following receipt
of this request by the custodian of records.
Signature Of Requester: Mikka Orrick (digital signature from online form)
Date of Request: 09/24/2019 ---------------------------------