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1915 Creekside Cir re-roof receipt .1 iyL�r Cash f1 Register City ofAtlanticBeach R321 • DESCRIPTION • QTY PAID PermitTRAK $99.00 RERF17-0146 Address: 1915 CREEKSIDE CIR APN: 172020 1216 $99.00 BUILDING $95.00 BUILDING PERMIT 455-0000-322-1000 0 $95.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL 'T: R3216 $99.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 10j19i2011 10:51:55 CREDIT CARD VISA SALE Card MUM4390 SEQ;: 3 Batch u, 466 INVOICE 3 Approval Code; 021566 Entry Method: Manual Mode: Online Tax Amount: $0.00 Card Code: M SALE AMOUNT X99 CUSTOMER COPY Date Paid: Thursday, October 19, 2017 Paid By: JA Edwards of America Inc Cashier: BA Pay Method: CREDIT CARD 3 Printed:Thursday,October 19,2017 10:52 AM 1 of 1 r TRWT