1730 Ocean Grove Drive TREE08-00100011 Payment Tree Fund 12.30.2009City of Atlantic Beach
Offsite Payment Form
Date prepared:12/30/09
Deposit Date:12/30/09
Prepared by:E. Hall
Payment Cash GL Account or
Type Receipt Accounts Receivable Deposit
Code Number Description Number Amount
TR Permit # 08-00100011 112-0000-366.00-00 3,919.50
1730 Ocean Grove Drive (Dixon Residence)
33.50" @ $117.00/inch, due prior to CO
Total Deposit Due 3,919.50
Cash
ACH
Checks
Money Orders
Total
Revised: 04/29/09
H:\001 - COMMUNITY DEVELOPMENT\001 - ACTIONS\TVRM\CASES\PERMITS\TREE 08-00100011 (1730 Ocean Grove Dr)\[Offsite Payment Form-Tree Fund_12 30 '09.xls]Tree Fund