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Receipt
Cash Register Receipt Receipt Number 19 City of Atlantic Beach R5369 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $103.00 15-MECH-771 Address: 287 5 NAUTICAL BLVD APN: 170703 0371 $103.00 BUILDING $103.00 BUILDING PERMIT RENEWAL 655-0000-322-1000 1 0 $103.00 TOTAL FEES 1 $103.00 e Date Paid: Friday,June 15,2018 Paid By: * BRUGGEMAN OLIVE H&TOM Cashier:CB Pay Method: CREDIT CARD 090539 Printed:Friday,June 15,201810:06 AM 101`1 an