1726 Selva Marina Dr ACRS20-0079 Receipt 6-#:- ri'
_ Cash Register Receipt Receipt Number
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City of Atlantic Beach R12044
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $115.00
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ACRS20-0079 Address: 1726 SELVA MARINA DR APN: 172005 0000 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $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: R12044 $115.00
Date Paid: Wednesday, March 25, 2020
Paid By: TOTAL AIR CARE, INC.
Cashier: CT
Pay Method: CREDIT CARD 5
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Printed:Wednesday, March 25,2020 12:00 PM 1 of 1