1830 LIVE OAK LN - RECEIPT ri:�Jf�p
s , Cash Register Receipt Receipt Number
City of Atlantic Beach R4053
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $55.00
RES17-0322 Address: 1830 LIVE OAK LN APN: 172020 0740 $55.00
WINDOW DOOR FINAL 01/25/2018 RBE $55.00
WINDOW DOOR FINAL 01/25/2018 RBE 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R4053 $55.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
0126 2018 11:42:42
CREDIT CARD
MC SALE
Card XXXXXXXXXXXX8185
SEQ#: 5
Batch#: 530
INVOICE 5
Approval Code: 07264)
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE MOUNT S55,00
CUSTOMER COPY
Date Paid: Friday, January 26, 2018
Paid By: PRECISION DOOR SERVICE OF N FL
Cashier: BA
Pay Method: CREDIT CARD 5
Printed: Friday,January 26, 2018 11:46 AM 1 of 1
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