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SEQ#: 2 INVOICE 3
Batch#: 527 Approval Code: 020386 H H m
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INVOICE #
r. `lit"; City of Atlantic Beach INV-2777
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800 Seminole Road
Date Due: 2/22/2018
4-�;i Atlantic Beach, FL, 32233
Invoice Date: 1/23/2018
Record# Record Type Fee Group Fee Description Quantity Amount
ERES18-0021 ELECTRICAL RESIDENTIAL ELECTRICAL ELEC NEW SINGLE FAMILY 200 $70.00
ELECTRICAL BASE FEE 0 $55.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$129.00
Invoice Total:$129.00
Please send your payment to this address:
Printed:Tuesday,January 23,2018 10:11 AM 1 of 1
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� '= . °' Cash Register Receipt Receipt Number
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City of Atlantic Beach R4OO7
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $223.00
ERES18-0021 Address: 362 PLAZA APN: 169972 0005 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TEMP18-0001 Address: 362 PLAZA APN: 169972 0005 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4007 $223.00
Date Paid: Tuesday, January 23, 2018
Paid By: Atlantic Coast Electrical Cont
Cashier: BA
Pay Method: CREDIT CARD 3
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Printed:Tuesday,January 23, 2018 10:14 AM 1 of 1 ll
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