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4/16/2013 (4) RECEIPT REPORT Date: 04/16/13 Time: 9:21am 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 2173025250 ARTHUR RIVALDO CYCLE 1 1 136.63 46.71 0.00 0.00 4.28 ARTR-010802-0000-05 17 04/16/2013 0.00 0.00 0.00 51.75 0.00 240.49 10802 SE ARIELLE TER 04/16/2013 0.00 1.12 0.00 0.00 0.00 0.00 1070980122 DANIEL D PRAIRIE CYCLE 1 2 15.85 13.97 0.00 0.00 1.07 CCDR-000314-0000-02 07 04/16/2013 0.00 0.00 0.00 2.76 0.00 33.65 314 COUNTRY CLUB DR 04/16/2013 0.00 0.00 0.00 0.00 0.00 -0.31 2201390120 TERRE LEWIS CYCLE 1 3 9.16 13.79 0.00 0.00 1.07 CLR -003900-020B-02 20 04/16/2013 0.00 0.00 0.00 5.98 0.00 30.00 3900 COUNTY LINE RD #20B 04/16/2013 0.00 0.00 0.00 0.00 0.00 -0.40 1100520143 JOSE HERNANDEZ-RENTER CYCLE 1 4 6.66 13.97 0.00 0.00 1.07 DVRN-000522-0000-04 10 04/16/2013 0.00 0.00 0.00 1.96 0.00 23.66 522 N DOVER RD 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 2191903513 JOHN NOVAL CYCLE 1 5 11.10 13.97 0.00 0.00 1.07 HOME-019035-0000-01 19 04/16/2013 0.00 0.00 0.00 6.54 0.00 32.68 19035 SE HOMEWOOD AVE 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 1101680128 RICHARD FELLER CYCLE 1 6 45.43 12.73 0.00 0.00 1.07 MAPL-000436-0000-02 10 04/16/2013 0.00 0.00 0.00 5.77 0.00 65.00 436 MAPLE AVE 04/16/2013 0.00 0.00 0.00 0.00 0.00 -0.82 2151770111 THOMAS J MAURICE CYCLE 1 7 11.10 13.97 0.00 0.00 1.07 NICO-004377-0000-01 15 04/16/2013 0.00 0.00 0.00 6.54 0.00 32.68 4377 NICOLE CIR 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 1080360131 MARY BETH BISHOP CYCLE 1 8 34.33 22.43 0.00 0.00 2.14 PNTP-000051-0000-03 08 04/16/2013 0.00 0.00 0.00 6.52 0.00 66.00 51 PINETREE PL 04/16/2013 0.00 0.58 0.00 0.00 0.00 42.78 1061510147 JAN STASHAK CYCLE 1 9 105.36 13.97 0.00 0.00 1.07 PTCR-000143-0000-04 06 04/16/2013 0.00 0.00 0.00 11.63 0.00 132.03 143 POINT CIR 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 1070440129 STEVE CALDER CYCLE 1 10 8.88 34.88 0.00 0.00 1.07 TEQC-000248-0000-02 07 04/16/2013 0.00 0.00 0.00 4.04 0.00 48.87 248 TEQUESTA CIR 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 1037790221 CROSS-FERN LLC CYCLE 1 11 26.64 13.97 0.00 0.00 1.07 US1N-000566-0000-12 03 04/16/2013 0.00 0.00 0.00 3.76 0.00 45.44 566 US HIGHWAY 1 NORTH 04/16/2013 0.00 0.00 0.00 0.00 0.00 0.00 1021210145 HOG SNAPPERS& SUSHI SHACK CYCLE 1 12 0.00 69.85 0.00 0.00 5.35 US1S-000277-0000-04 02 04/16/2013 0.00 0.00 0.00 6.80 0.00 82.60 277 US HIGHWAY 1 SOUTH 04/16/2013 0.00 0.60 0.00 0.00 0.00 0.00 1021200175 HOG SNAPPERS & SUSHI SHACK CYCLE 1 13 659.30 17.61 0.00 0.00 0.00 US1S-000279-0000-07 02 04/16/2013 0.00 0.00 0.00 0.00 0.00 676.91 279 US HIGHWAY #1 SOUTH 04/16/2013 0.00 0.00 0.00 0.00 0.00 1,436.63 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 13 Grand Total: 1,070.44 301.82 0.00 0.00 21.40 0.00 0.00 0.00 114.05 0.00 1,510.01 0.00 2.30 0.00 0.00 0.00 1,477.88