362 PLAZA - PERMIT ACRSS18-0184 ,;11....,..\4,,,,,
JS ,
Cash Register Receipt Receipt Number
z City of Atlantic Beach R10617
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $55.00
ACRS18-0184 Address: 362 PLAZA APN: 169972 0005 $55.00
HVAC FINAL 06/28/2019 DA $55.00
HVAC FINAL 06/28/2019 DA 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R10617 $55.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
10/01/2019 16:28:40
CREDIT CARD
VISI,SALE
Cad; XX)00000(XXXX6373
SEQ#: 14
Batch#: 944
INVOICE 15
Approval Code: 052840
Entry Method: Manual
Mode: Online
Tax Amount :0,00
Card Code: M
SALE AMOUNT $55,00
CUSl011I:R COPY
Date Paid: Tuesday, October 01, 2019
Paid By: AIR TO AIR
Cashier: CB
Pay Method: CREDIT CARD 14
Printed:Tuesday, October 01, 2019 4:28 PM 1 of 1 i