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2/15/2012 (4) RECEIPT REPORT Date: 02/15/12 Time: 9:09am 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 1020630125 DIANNE BAUER CYCLE 1 1 13.38 27.54 0.00 0.00 2.12 BASN-019179-0000-02 02 02/15/2012 0.00 0.00 0.00 10.71 0.00 53.94 19079 BASIN ST 02/15/2012 0.00 0.19 0.00 0.00 0.00 -0.24 1070490151 JEANNIE MARTINICO CYCLE 1 2 19.71 13.77 0.00 0.00 1.06 CCDR-000257-0000-05 07 02/15/2012 0.00 0.00 0.00 3.11 0.00 37.65 257 COUNTRY CLUB DR 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2201390120 TERRE LEWIS CYCLE 1 3 11.00 13.49 0.00 0.00 1.06 CLR -003900-020B-02 20 02/15/2012 0.00 0.00 0.00 6.45 0.00 32.00 3900 COUNTY LINE RD #20B 02/15/2012 0.00 0.00 0.00 0.00 0.00 -0.28 2201110164 JULIANNA DOSDOURIAN CYCLE 1 4 8.76 13.77 0.00 0.00 1.06 CLR -003900-023C-06 20 02/15/2012 0.00 0.00 0.00 5.90 0.00 29.49 3900 COUNTY LINE RD#23C 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2201580182 MONICA K. SHELLING CYCLE 1 5 9.00 13.77 0.00 0.00 1.06 CLR -003900-027B-08 20 02/15/2012 0.00 0.00 0.00 5.90 0.00 29.73 3900 COUNTY LINE RD #27B 02/15/2012 0.00 0.00 0.00 0.00 0.00 -0.24 1121360725 THOMAS LEHMAN CYCLE 1 6 15.33 13.77 0.00 0.00 1.06 CPWY-009908-0000-02 12 02/15/2012 0.00 0.00 0.00 7.54 0.00 37.70 9908 SE CANARY PALM WAY 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1110520184 GARY EMBLETON RENTER CYCLE 1 7 15.33 13.77 0.00 0.00 1.06 FRNK-000371-0000-08 11 02/15/2012 0.00 0.00 0.00 2.72 0.00 32.88 371 FRANKLIN RD 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1085000130 JULIA MASTROMARINO CYCLE 1 8 29.95 13.77 0.00 0.00 1.06 FRVW-000116-0000-03 08 02/15/2012 0.00 0.00 0.00 4.04 0.00 48.82 116 FAIRVIEW WEST 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1063600121 HAROLD M. CROWE CYCLE 1 9 15.33 13.77 0.00 0.00 1.06 FWYN-000345-0000-02 06 02/15/2012 0.00 0.00 0.00 2.72 0.00 32.88 345 FAIRWAY NORTH 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1064200142 PAUL E. BALLARD CYCLE 1 10 15.33 13.77 0.00 0.00 1.06 FWYW-000246-0000-04 06 02/15/2012 0.00 0.00 0.00 2.72 0.00 32.88 246 FAIRWAY WEST 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1121476771 TOM&MARY LEHMAN CYCLE 1 11 0.00 0.00 0.00 9.75 1.06 HRDR-000000-ZERO-02 12 02/15/2012 0.00 0.00 0.00 0.27 0.00 11.08 SE HERITAGE DR #LOT27B(RC) 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 1121670180 WILLIAM A. DEITZ CYCLE 1 12 6.57 13.77 0.00 0.00 1.06 LLLN-018140-0000-08 12 02/15/2012 0.00 0.00 0.00 5.35 0.00 26.75 18140 SE LAUREL LEAF LN 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2161060143 SUSAN BERNABI CYCLE 1 13 9.00 13.77 0.00 0.00 1.06 MARK-004243-0000-04 16 02/15/2012 0.00 0.00 0.00 5.90 0.00 29.73 4243 MARK ST 02/15/2012 0.00 0.00 0.00 0.00 0.00 -0.24 1020670174 NICOLE MCKENNA CYCLE 1 14 4.38 13.77 0.00 0.00 1.06 PEBB-003299-0000-07 02 02/15/2012 0.00 0.00 0.00 4.81 0.00 24.02 3299 PEBBLE PL 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2140370115 APRIL DONHAM CYCLE 1 15 40.96 13.77 0.00 0.00 1.06 PNTC-000018-0000-01 14 02/15/2012 0.00 0.00 0.00 5.03 0.00 60.82 18 PINETREE CIR 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2160280148 KRIS COSTELLO CYCLE 1 16 51.37 7.53 0.00 0.00 1.06 POP -000041-0000-04 16 02/15/2012 0.00 0.00 0.00 9.80 0.00 69.76 41 POPLAR RD 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2191897075 BRIAN SIMPSON CYCLE 1 17 8.76 13.77 0.00 0.00 1.06 RBTD-018970-0000-01 19 02/15/2012 0.00 0.00 0.00 5.90 0.00 29.49 18970 SE ROBERT DR 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 2172581134 THOMAS E KELLY CYCLE 1 18 59.31 13.77 0.00 0.00 1.06 RVRR-018771-0000-03 17 02/15/2012 0.00 0.00 0.00 18.54 0.00 92.68 18771 SE RIVER RIDGE RD 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 RECEIPT REPORT Date: 02/15/12 Time: 9:09am Village of Tequesta Page: 2 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 1111510187 M & N OF TEQUESTA INC. CYCLE 1 19 33.62 13.77 0.00 0.00 1.06 US1N-000104-0000-08 11 02/15/2012 0.00 0.00 0.00 4.37 0.00 52.82 104 US HIGHWAY 1 NORTH 02/15/2012 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 19 Grand Total: 367.09 255.11 0.00 9.75 21.20 0.00 0.00 0.00 111.78 0.00 765.12 0.00 0.19 0.00 0.00 0.00 -1.00