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705 Atlantic Blvd UTIL19-0029 Receipt
Cash Register • • Receipt • - n City of Atlantic Beach R8765 DESCRIPTION • PermitTRAK $2,789.00 UTIL19-0029 Address: 705 ATLANTIC BLVD APN: 1706550000 $2,789.00 PUBLIC UTILITIES $2,789.00 WATER SYSTEM DEVELOPMENT IMPACT q15-0000-324-0301 1 $1,904.00 CHARGE WATER METER AND TAP 40D-0000-343-3302 0 $835.00 CROSSCONNECTION 400-0000-343-3701 1 $50.00 TOTAL • 11 SCANNED Date: �I11 l 11 7 Date Paid: Wednesday,April 17, 2019 Paid By:SEMINOLE SOUTH, LLC Cashier: CB Pay Method: CREDIT CARD 2 Printed:Wednesday,April 17,201911:28 AM 10f 1