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1215 Selva Marina Cir GSRS19-0076 Fireplace/Grill
' t „ Cash Register Receipt Receipt Number \�r City of Atlantic Beach R10991 DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $55.00 GSRS19-0076 Address: 1215 SELVA MARINA CIR APN: 171911 0000 $55.00 MECHANICAL GAS FINAL**10/29/2019 RBE $55.00 MECHANICAL GAS FINAL**10/29/2019 RBE 455-0000-322-1002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R10991 $55.00 Date Paid: Wednesday, November 06, 2019 Paid By: SAUNDERS SAMUEL PALMER Cashier: CT Pay Method: CREDIT CARD 006445 Printed:Wednesday, November 06, 2019 1:08 PM 1 of 1 j= TRN(iT