52 Lewis ReceiptDESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
GSRS20-0063 Address: 52 LEWIS ST APN: 172228 0500 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
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: R13271 $69.00
Printed: Wednesday, September 16, 2020 3:43 PM
Date Paid: Wednesday, September 16, 2020
Paid By: Hall's Gas Services, Inc.
Pay Method: CREDIT CARD 362507622
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13271