Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Receipt for Pay-off of lien
` �� OS'T rilicT$ 21 FU All X3 ~�' h8'9�GZl$ OO'I CDyof �eoob "o Atlantic SlWd 3-18VAHV Offsite Payment Form �IMS utET S-S99 :ou 1,uta328 T0 ET/8Z/9 | :jame4I 30 :2«A1 WagjjH :-auO Date prepared: "D-D Deposit Date: LJ � U � Prepared by: J B =o .. LJ � Payment Cash (�LAccount or �~ S� �� � Type Receipt Accounts Receivable Deposit Coda Number Description . Number Amount AR CEBCase# 1O'G32 1024'1136 365316 AR CEBCase# 1O-G32 1024-134 ' 1234684 331Seminole Road 8ss, Sonja ' CE831212 approved payoff 2 |iene: Bk 15002, 1926 Bk 15870, pg 878 al ~ Total Deposit CHECK NUMBER | . ! Caoh ' ACH ' Checks 15O0OUO 000asM|moLEROAD ATLANTIC BEACH, FLORIDAuean . Money Orders � O NTNU�8ER CYCLE | ~ Total 15�00000 v� ACCOUNTNAME TOTAL RECEIVED 00. Oper: HTLBDH3 Tvpe: OC Drawer' l Date: 6/28/13 01 R�ccipt no: 6-55 Kls]Form 44135 2994 GROSS SOMA G. UP UTILITY PAYM'ENT' ( 1.00 *251.30 � Remaining balance: $4.�� CV CnECx 834 121 $l�51.3O Trans dote: 6/213/13 Time: 15/21/47 tn kn 0 en -4 66 rm IN rm rm Ir C4 O'd 0 0 E2 ru 0 OU z co rm 4t cn C") o "' I ; = ;� (S F4 0 M U ch > tn 9L.