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1600 Selva Marina Drive COMM18-0005 (Receipt) talk / , : Cash Register Receipt Receipt Number �M City of Atlantic Beach R5546 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $55.00 COMM18-0005 Address: 1600 SELVA MARINA DR APN: 172000 0010 $55.00 SLAB 06/29/2018 DA $55.00 SLAB 06/29/2018 DA 45500003221002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R5546 $55.00 CITY OF ATLANTIC BEACH 800 SENQNOLE RD ATLANTIC BEAC,FL 32233 07/02/2018 N:11:02 CREDIT CARD VISA SALE Card# XXXXXXXXXXXX4 118 SEQ#: • 14 Batch#: 639 INVOICE 15 Approval Code: 131718 Entry Method: Manual Mode: Online Tax Amount: O 00 Card Code: M SALE ANOUNT $55,00 CUSTOMER COPY Date Paid: Monday, July 02, 2018 Paid By: Boss Buildings LLC Cashier: BA Pay Method: CREDIT CARD 15 Printed: Monday,July 02,2018 2:11 PM 1 of 1 WAIT