1750 ATLANTIC BEAH DR - FEE RECEIPT J. I 14 I I I Cash Register Receipt Receipt Number
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City of Atlantic Beach R4173
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DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $110.00
RES17-0098 Address: 1750 ATLANTIC BEACH DR APN: 169505 1660 $110.00
TIE DOWN FRAMING 01/16/2018 M1 $110.00
TIE DOWN FRAMING 01/16/2018 MJ 45500003221002 0 $55.00
ROOF IN PROGRESS 02/05/2018 MJ 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R4173 $110.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
42/07/2018 16:18:40
CREDIT CARD
VISA SALE
CARD# XXO000XXXXX7610
INVOICE 0005
SEQ#: 0004
Batch#: 000731
Approval Code: 0175N
Entry Method: Manual
Mode: Online
Tax Amount: S000
Cust Code:
Card Code: M
SALE AVOUVT $110,0C
CUSTOMER COPY
Date Paid: Wednesday, February 07, 2018
Paid By: TOLL FL VI LIMITED PARTNERSHIP
Cashier: CB
Pay Method: CREDIT CARD 017574
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Printed: Wednesday, February 07, 2018 4:19 PM 1 of 1
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