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1071 Atlantic Blvd permit re-instatement receipt Receipt Number • sh Register Receipt City of Atlantic Beach R4546 DESCRIPTION • QTY PAID PermitTRAK $320.53 ELEC17-0008 Address: 1071 ATLANTIC BLVD APN: 177411 0040 $94.00 ELECTRICAL $94.00 ELEC REINSPECTION 455-0000-322-1000 0 $94.00 MCAC17-0003 Address: 1071 ATLANTIC BLVD APN: 177411 0040 $226.53 MECHANICAL $226.53 MECHANICAL REINSPECTION FEE 455-0000-322-1000 0 $226.53 • RECEIPT: R4546 $320.53 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 J3;2U;2018 08:50:42 CREDIT CARD VISA SALE CARD# ,(XXXXXXXXXXX4352 INVOICE 0002 SEQ#: 0002 Batch#: 000759 Approval Code: 01274G Entry Method: Manual Mode: OnIm Tax Amount: $0.00 Card Code, M SALE AMOUNT $320,53 CUSTOMER COPY Date Paid: Tuesday, March 20, 2018 Paid By: AMERICAN ELECTRICAL SERVICES 0 Cashier: CB Pay Method: CREDIT CARD 01274g Printed:Tuesday, March 20, 2018 8:51 AM 1 of 1