DONOVAN RECEIPT •S�'�,fr
Y �,1
t Number
s Cash Register Receipt Receipt
'J' -r
City of Atlantic Beach R6526
ay.
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $285.00
ACRS18-0403 Address: 331 19TH ST APN: 172020 1210 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34600 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS18-0404 Address: 1560 SELVA MARINA DR APN: 171988 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS18-0405 Address: 1927 BEACHSIDE CT APN: 169542 0576 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
•
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 21600 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6526 $285.00
Date Paid: Monday, September 24, 2018
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: LE
Pay Method: CHECK 8
Printed: Monday,September 24,2018 3:22 PM 1 of 1 it
nwar