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1085 Atlantic Boulevard - Records Request 01.22.2019 Receipt
Date prepared: Deposit Date: Prepared by: City of Atlantic Beach Offsite Payment Form 01 /16/19 01 /16/19 Lori Diaz Payment Cash G� Account or Type Receipt Accounts Receivable Deposit Code Number Description Number Amount CS 1 hour at $18.00 for records request 18.00 from Lindsey McQuiddy Total Deposit 18.00 CITY OF ATLANTIC BEACH 800 SENINOLE RD ATLANTIC B=AC, FL 32233 Cash D1/16/2019 13:31;37 ACH CREDIT CARD VIStt SALE Checks Card # XXXXXXXXXXXXOS78 Credit/Debit Cards SEQ #. 6 Money Orders Batch #; 112 INVOICE 8 Total 18.00 Approval Code: 04121G Entry Metiod: Manual Mode; Online Tax Amount: $0,00 Card Code. M SRIE AMOUNT X18,00 Caper= r�TLLfi:�iB T}fpe ��C llraaer` 1 CUSTOMER COPY ash Receipts\[Offsite Payment Form for Records Request-Lindspy�vlcQuidd�:x��'€�q"rm., E;F''' ` ' " - �,� i =Citi $18too 001000034 19006 1HR @$18=00 FOR RLCBRE CC CRUri1 T CARD -1B.00 Irate die: 1;18118 i m.: 13:L5:?�