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RECEIPT - PERMIT RES17-0303
S) Register Cash City of Atlantic Beach R5178 DESCRIPTION ACCOUNTQTY PAID PermitTRAK $55.00" RES17-0303;. Address: 331 10TH ST', APN: 170073 0000 $55.00 ROOF IN PROGRESS 05/25/2018 DA $55.00 ROOF IN PROGRESS 05/25/2018 DA 1 45500003221002 0 $55.00 TOTAL11 C1 i Y OF 91 LAidi K btACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 0511251/2018 15:14:01 CREDIT CARD VISA SALT: ;:ARD# XXXXXXXXXXXX7693 :INVOICE 0004 ::EQ#: 0004 Batch#: 000806 ,approval Code: 181545 !:i*y Metiod: Manual Mode: Online Card Code: M 'TALE AMOUNT $55.00 CUSTOMER COPY Date Paid: Friday, May 25, 2018 Paid By: CORNELIUS CONSTRUCTION CO. Cashier: CB Pay Method: CREDIT CARD 181545 Printed:Friday, May 25,2018 3:14 PM 1 of 1 jP T"T