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1/18/2012 (4) RECEIPT REPORT Date: 01/18/12 Time: 9:12am Village of Tequesta Page: 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Account Number Customer Name Cycle Receipt No WATER MONTHLY SE METER TEST RESERVE CA FIRE PROTE Location ID Section Entry Date RECONNECT REFUSE/REC FIRE LINE UTILITY TA RETURNED C Total Paid Service Address Posting Date SEASONAL PENALTY DEPOSIT RE METER CHEC Other Balance Due ------------------------------------------------------------------------------------------------------------------------------------------------------------- 2162450130 DEAN NUNEVILLE CYCLE 1 1 17.52 13.77 0.00 0.00 1.06 BCHW-000105-0000-03 16 01/18/2012 0.00 0.00 0.00 2.92 0.00 35.27 105 BEECHWOOD TRL 01/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 1075300130 CLAIRE ZOCK CYCLE 1 2 430.44 13.77 0.00 0.00 1.06 BYVT-000011-0000-03 07 01/18/2012 0.00 0.00 0.00 40.08 0.00 485.35 11 BAYVIEW TERR 01/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2161740262 ELEANOR HANLON CYCLE 1 3 4.38 13.77 0.00 0.00 1.06 CINP-000073-0000-06 16 01/18/2012 0.00 0.00 0.00 1.73 0.00 20.94 73 CINNAMON PL 01/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2141510186 MARY TRAN CYCLE 1 4 6.79 13.77 0.00 0.00 1.06 CYPN-000427-0001-08 14 01/18/2012 0.00 0.00 0.00 1.93 0.00 23.55 427 N CYPRESS DR #1 01/18/2012 0.00 0.00 0.00 0.00 0.00 -0.22 2141530186 PENNY KUDYBA CYCLE 1 5 8.95 27.54 0.00 0.00 2.12 CYPN-000427-0003-08 14 01/18/2012 0.00 0.00 0.00 3.46 0.00 42.26 427 N CYPRESS DR #3 01/18/2012 0.00 0.19 0.00 0.00 0.00 -0.19 1084700127 MICHELLE SYLVESTER CYCLE 1 6 8.76 27.54 0.00 0.00 2.12 FRVW-000147-0000-02 08 01/18/2012 0.00 0.00 0.00 3.46 0.00 42.07 147 FAIRVIEW WEST 01/18/2012 0.00 0.19 0.00 0.00 0.00 0.00 1050810113 ANN G BALLARD CYCLE 1 7 24.02 0.00 0.00 0.00 0.00 GLFS-019359-0000-01 05 01/18/2012 0.00 0.00 0.00 0.00 0.00 24.02 19359 GULFSTREAM DR 01/18/2012 0.00 0.00 0.00 0.00 0.00 -25.00 1111660151 MARGARET W. CLINTON CYCLE 1 8 50.40 13.77 0.00 0.00 1.06 LIVE-000031-0000-05 11 01/18/2012 0.00 0.00 0.00 2.92 0.00 68.15 31 LIVE OAK CIR 01/18/2012 0.00 0.00 0.00 0.00 0.00 -32.88 1111690647 CURTIS SMOCK-RENTER CYCLE 1 9 13.42 13.77 0.00 0.00 1.06 LIVE-000087-0000-04 11 01/18/2012 0.00 0.00 0.00 2.52 0.00 30.77 87 LIVE OAK CIR 01/18/2012 0.00 0.00 0.00 0.00 0.00 -0.28 2140370115 APRIL DONHAM CYCLE 1 10 17.52 13.77 0.00 0.00 1.06 PNTC-000018-0000-01 14 01/18/2012 0.00 0.00 0.00 2.92 0.00 35.27 18 PINETREE CIR 01/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2151330174 ANDREA JACOBSON OWNER CYCLE 1 11 26.57 27.54 0.00 0.00 2.12 RVRP-004420-0000-07 15 01/18/2012 0.00 0.00 0.00 13.99 0.00 70.48 4420 RIVER PINES CT 01/18/2012 0.00 0.26 0.00 0.00 0.00 -0.30 2140490148 CHUCK FICKER CYCLE 1 12 10.49 13.19 0.00 0.00 1.06 WLWR-000020-0000-04 14 01/18/2012 0.00 0.00 0.00 2.33 0.00 27.07 20 WILLOW RD 01/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 12 Grand Total: 619.26 192.20 0.00 0.00 14.84 0.00 0.00 0.00 78.26 0.00 905.20 0.00 0.64 0.00 0.00 0.00 -58.87