RECEIPT FOR REINSPECTION ``-, ,-.411 , Cash Register Receipt Receipt Number
v x City of Atlantic Beach R1932
0,11, '
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $55.00
17-SFR-3274-05 Address: 1781 ATLANTIC BEACH DR APN: $55.00
FRAMING ROUGH 07/05/2017 DA $55.00
FRAMING ROUGH 07/05/2017 DA 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R1932 $55.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
07;07/2017 13:07:50
CREDIT CARD
VISA SALE
Card XXXXXXXXXXXX7195
4
SEQ;: 40
Batch M: 5
INVOICE
02525G
Approval Code: MSI
Entry Method:
Online
Mode: $0.00
Tax Amount: M
Card Code:
SALE AMOUNT $55,01
CUSTOMER CON
Date Paid: Friday, July 07, 2017
Paid By: RIVERSIDE HOMES OF N FL
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Friday,July 07,2017 1:08 PM 1 of 1 I
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