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1921 Selva Marina Dr RES22-0223 VOID PAYMENT 1/27/22,2:33 PM Cardknox Portal City of Atlantic Beach, Florida ecardknox 800 Seminole Rd A Fidelity Payments Company Atlantic Beach FL 32233 904-247-5800 PROCESSING INFORMATION Amount $424.00 Date: 1/27/2022 1:42:00 PM Transaction type: Sale Status: [VOIDED CARD INFORMATION Card type: Visa Card expiration: 09/24 Card number: ****6845 Cardholder name: Patick Westling BILLING INFORMATION Patick Westling 4801 Executive Park Crt. N bldg 200 ste 207 Jacksonville FL 32216 codym@homeritewd.com (296)251-5 ADDITIONAL INFORMATION Entry method: Keyed Reference Number: 579714771 Payment type: Credit Card Authorization Code: 027963 AVS: Address: Match&5 Digit ZIP: Match Service Fee: $3.58 Description: RES22-0023 1921 SELVA MARINA DR SIGNATURE X I Agree to pay above total amount according to card issuer agreement period. https://portal.cardknox.com/transactions?endDate=2022-01-27 23%3A59%3A59&expandedRow=579714771&key=7&startDate=2022-01-20 00%3A0... 1/1