1644 PARK TER W - RECEIPT '. (�:1T•
. , Cash Register Receipt Receipt Number
City of Atlantic Beach R4849
'� 91
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $55.00
17-RAAR-3608 Address: 1644 W PARK TER APN: 172020 0164 $55.00
BUILDING FINAL 03/16/2018 RBE $55.00
BUILDING FINAL 03/16/2018 RBE 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R4849 $55.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
04120/2018 15:06:50
CREDIT CARD
VISA SALE
CARD# ;000000000(XX1523
:INVOICE 0004
SEQ#: 0004
13atch#: 000781
Approval Code: 052171
Entry Method: Manual
Mode. Online
Cad Code: M
SALE AMOUNT $55,00
CUSTOMER COPY
Date Paid: Friday, April 20, 2018
Paid By: * HARDMAN ESTATE, CHARLES H
Cashier: CB
Pay Method: CREDIT CARD 052171
0
Printed: Friday,April 20, 2018 3:08 PM 1 of 1 4
TAN('iT