1748 W PARK TERRACE PLRS19-0067 RECEIPT Cash Register Receipt Receipt Number
City of Beach • •
04
DESCRIPTION • QTY PAID
PermitTRAK $66.00
PLRS19-0067 Address: 1748 W PARK TER APN: 172020 0362 $66.00
PLUMBING $62.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
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: R8604 $66.00
Date Paid: Friday, March 29, 2019
Paid By: Gray's Plumbing LLC
Cashier: CB
Pay Method: CREDIT CARD 3
Printed:Friday, March 29, 2019 9:50 AM 1 of 1 S