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65 19th St HVAC permit YS�-1�Jrj� r, Cash Register Receipt Receipt Number 7 City of Atlantic Beach R5160 "tu,t19., DESCRIPTION ACCOUNT QTY PAID PermitTRAK $115.00 ACRS18-0232 Address: 65 19TH ST APN: 169723 1040 $115.00 MECHANICAL $111.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 5 $32.00 FURNACES AND HEATING 455-0000-322-1000 45600 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5160 $115.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC, L.32233 :523'2018 15:54:12 CREDIT CAD VISA SALE :.ARD XXX02XXXXX5071 INVOICE 0004 ;EQ n: 0004 13atch#: 000804 Approval Code. 307909 nay Method: Manual lode: Online Tar Amount: $0.00 ::ard Code: M SALE AMOUNT 5115.00 CUSTOMER COPY Date Paid: Wednesday, May 23, 2018 Paid By: ESTES HEATING & AIR, INC. Cashier: CB Pay Method: CREDIT CARD 307909 Printed:Wednesday, May 23,2018 3:55 PM 1 of 1 ¶* nwar