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5/17/2013 (4) RECEIPT REPORT Date: 05/17/13 Time: 4:38pm 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 1054150110 JOHN HUEBLER CYCLE 1 1 6.93 14.82 0.00 0.00 1.07 CCDR-000135-0000-01 05 05/17/2013 0.00 0.00 0.00 1.96 0.00 25.00 135 COUNTRY CLUB DR 05/17/2013 0.00 0.22 0.00 0.00 0.00 20.12 2200080206 ANTONIO GUTIERREZ CYCLE 1 2 19.98 13.97 0.00 0.00 1.07 CLR -003794-0102-10 20 05/17/2013 0.00 0.00 0.00 8.76 0.00 44.13 3794 COUNTY LINE RD #102 05/17/2013 0.00 0.35 0.00 0.00 0.00 38.23 2200810170 GLENN CHAPMAN CYCLE 1 3 13.32 13.97 0.00 0.00 1.07 CLR -003900-001D-07 20 05/17/2013 0.00 0.00 0.00 6.36 0.00 35.00 3900 COUNTY LINE RD #1D 05/17/2013 0.00 0.28 0.00 0.00 0.00 33.41 2151530159 SHANNON&CLIFFORD HILL RENTER CYCLE 1 4 57.61 23.84 0.00 0.00 1.07 CLTD-004440-0000-05 15 05/17/2013 0.00 0.00 0.00 8.20 0.00 91.05 4440 COLLETTE DR 05/17/2013 0.00 0.33 0.00 0.00 0.00 39.58 2140850235 JOSEPH LEWIS (RENTER) CYCLE 1 5 11.10 13.97 0.00 0.00 1.07 CYPN-000406-0002-13 14 05/17/2013 0.00 0.00 0.00 2.36 0.00 28.76 406 N CYPRESS DR #2 05/17/2013 0.00 0.26 0.00 0.00 0.00 26.08 2141360159 TODD A MURPHY CYCLE 1 6 15.51 13.89 0.00 0.00 0.00 CYPN-000435-000A-05 14 05/17/2013 0.00 0.00 0.00 0.00 0.00 30.00 435 N CYPRESS DR #A 05/17/2013 0.00 0.60 0.00 0.00 0.00 66.73 1100730566 STEVE REA CYCLE 1 7 10.38 32.64 0.00 0.00 3.21 DVRN-000523-0000-06 10 05/17/2013 0.00 0.00 0.00 5.09 0.00 51.78 523 N DOVER RD 05/17/2013 0.00 0.46 0.00 0.00 0.00 23.85 1110710122 FRANCISCO SCILABRO CYCLE 1 8 11.10 13.97 0.00 0.00 1.07 MARS-000354-0000-02 11 05/17/2013 0.00 0.00 0.00 2.36 0.00 28.50 354 MARS AVE 05/17/2013 0.00 0.00 0.00 0.00 0.00 0.00 2160570181 WILLIAM GIST RENTER CYCLE 1 9 0.00 0.00 0.00 0.00 0.00 PHTE-000092-0000-08 16 05/17/2013 0.00 0.00 0.00 0.01 0.00 0.01 92 PINEHILL E TRL 05/17/2013 0.00 0.00 0.00 0.00 0.00 0.00 2190140148 PAUL RANKIN CYCLE 1 10 24.42 13.97 0.00 0.00 1.07 SDRD-018971-0000-04 19 05/17/2013 0.00 0.00 0.00 9.87 0.00 49.72 18971 SE SUDDARD DR 05/17/2013 0.00 0.39 0.00 0.00 0.00 49.33 1101070165 BRIGIDANN FORMAN CYCLE 1 11 4.44 13.97 0.00 0.00 1.07 SEBR-000361-0000-06 10 05/17/2013 0.00 0.00 0.00 1.76 0.00 21.43 361 SEABROOK RD 05/17/2013 0.00 0.19 0.00 0.00 0.00 28.50 1110880120 EUGENE THOMAS BLAIR CYCLE 1 12 4.44 13.97 0.00 0.00 1.07 STRN-000371-0000-02 11 05/17/2013 0.00 0.00 0.00 1.76 0.00 21.24 371 SATURN AVE 05/17/2013 0.00 0.00 0.00 0.00 0.00 0.00 2190230137 MICHAEL A JORCZAK CYCLE 1 13 66.12 43.35 0.00 0.00 3.21 WLML-011820-0000-03 19 05/17/2013 0.00 0.00 0.00 26.27 0.00 140.00 11820 SE WILLIAM LN 05/17/2013 0.00 1.05 0.00 0.00 0.00 86.33 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 13 Grand Total: 245.35 226.33 0.00 0.00 16.05 0.00 0.00 0.00 74.76 0.00 566.62 0.00 4.13 0.00 0.00 0.00 412.16