The Controller shall issue a receipt for any and all impact fees collected, and the form of such receipt shall be as follows:
Received of (fee payer) , this day of , the sum of $ in (full) (partial) satisfaction of impact fees due pursuant to Ordinance No. 09-18-91C relating to improvements to be constructed on the real estate described on Exhibit A, attached hereto, made part hereof, and subject to lien rights in favor of the City of Fishers in the event of partial payment with payments remaining due. The remaining balance due (if any) is in the following amount: $ . This impact fee is dedicated to the creation of the following infrastructure element in accordance with the Zone Improvement Plan:
Clerk, City of Fishers
(Ord. 09-03-91E, passed 11-6-91; Am. Ord. 091514A, passed 11-17-14)