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12/18/2012 (5) RECEIPT REPORT Date: 12/18/12 Time: 9:28am 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 2142390115 MARK H YOUNG CYCLE 1 1 19.82 13.85 0.00 0.00 1.07 CAMC-000069-0000-01 14 12/18/2012 0.00 0.00 0.00 3.16 0.00 37.90 69 CAMELIA CIR 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2141550170 ROBERTO MORALES RENTER CYCLE 1 2 16.06 11.23 0.00 0.00 1.07 CYPN-000425-0005-07 14 12/18/2012 0.00 0.00 0.00 3.16 0.00 31.52 425 N CYPRESS DR #5 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 1021770169 RANDY DICKINSON CYCLE 1 3 28.86 27.94 0.00 0.00 1.07 FEDH-017781-0001-06 02 12/18/2012 0.00 0.00 0.00 14.48 0.00 72.35 17781 SE FEDERAL HWY #1 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.56 2191090140 RICHARD DOUSE CYCLE 1 4 53.67 26.62 0.00 0.00 11.67 FRNL-019083-0000-04 19 12/18/2012 0.00 0.00 0.00 7.69 0.00 100.00 19083 SE FEARNLEY DR 12/18/2012 0.00 0.35 0.00 0.00 0.00 169.72 1084700127 MICHELLE SYLVESTER CYCLE 1 5 8.88 13.97 0.00 0.00 1.07 FRVW-000147-0000-02 08 12/18/2012 0.00 0.00 0.00 2.16 0.00 26.08 147 FAIRVIEW WEST 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2151037768 BREWSTER KUMP CYCLE 1 6 13.32 13.97 0.00 0.00 1.07 MAGW-000163-0000-02 15 12/18/2012 0.00 0.00 0.00 2.56 0.00 30.92 163 MAGNOLIA WAY 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 1101680128 RICHARD FELLER CYCLE 1 7 65.17 13.31 0.00 0.00 1.07 MAPL-000436-0000-02 10 12/18/2012 0.00 0.00 0.00 7.44 0.00 86.99 436 MAPLE AVE 12/18/2012 0.00 0.00 0.00 0.00 0.00 -0.78 2161150147 BRIT&TAYLOR OSTER OWNER CYCLE 1 8 9.03 13.84 0.00 0.00 1.07 RBTS-004171-0000-04 16 12/18/2012 0.00 0.00 0.00 5.98 0.00 29.92 4171 ROBERT ST 12/18/2012 0.00 0.00 0.00 0.00 0.00 -0.24 2151630131 JOANN JACOBSON CYCLE 1 9 6.66 13.97 0.00 0.00 1.07 RSDN-019297-0000-03 15 12/18/2012 0.00 0.00 0.00 5.43 0.00 27.13 19297 N RIVERSIDE DR 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 2191920139 KEVIN CONNORS CYCLE 1 10 11.10 13.97 0.00 0.00 1.07 SGTD-019026-0000-03 19 12/18/2012 0.00 0.00 0.00 6.54 0.00 32.68 19026 SE SOUTHGATE DR 12/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 10 Grand Total: 232.57 162.67 0.00 0.00 21.30 0.00 0.00 0.00 58.60 0.00 475.49 0.00 0.35 0.00 0.00 0.00 169.26