350 OCEAN BLVD - RECEIPT fA
INVOICE #
City of Atlantic Beach INV-3500
'If 800 Seminole Road
,.,rj; 1.). Atlantic Beach, FL, 32233 Date Due:4/21/2018
Invoice Date:3/22/2018
Record# Record Type Fee Group Fee Description
Quantity Amount
RES17-0324 RESIDENTIAL FOUNDATION FOOTING
03/21/2018 RBE 0 $55.00
$55.00
Invoice Total:$55.00
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Please send your payment to this address:
Printed:Thursday, March 22,2018 1:46 PM 1 of 1 "l.`
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Cash Register Receipt Receipt Number
40, City of Atlantic Beach R4580
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $55.00
RES17-0324 Address: 350 OCEAN BLVD APN: 170177 0000 $55.00
FOUNDATION FOOTING 03/21/2018 RBE $55.00
FOUNDATION FOOTING 03/21/2018 RBE 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R4580 $55.00
Date Paid:Thursday, March 22, 2018
Paid By: Providence Construction Compan
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Thursday, March 22,2018 1:51 PM 1 of 1
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