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378 6TH ST - RECEIPT RENEWAL
&eco EXkL1 .. s,,: v.ff t', 1 °� Cash Register Receipt Receipt Number J ") City of Atlantic Beach R3958 ' Ji3S,;' DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $35.00 14-00000420 Address: 378 6TH ST APN: 169874 0000 $35.00 BUILDING $35.00 BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $35.00 TOTAL FEES PAID BY RECEIPT: R3958 $35.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 01;17/2018 14:41:42 CREDIT CARD VISA SALE CARD# XXXXX)0000(7484 INVOICE 0003 SEQ#: 0003 I3atdi#: 000716 Approval Code: 134107 Enby Method: Manual Mode: Online Tax Amount: $0.00 Card Code: M SALE AMOUNT X35.00 CUSTOMER COPY Date Paid: Wednesday, January 17, 2018 Paid By: KENNETH ROBERT MILLER Cashier: CB Pay Method: CREDIT CARD 134107 0 Printed:Wednesday,January 17, 2018 2:50 PM 1 of 1 4 TRN(IT