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5/28/2013 (10) RECEIPT REPORT Date: 05/28/13 Time: 4:45pm 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 1088150133 CHRIS BLACK CYCLE 1 1 19.98 13.97 0.00 0.00 1.07 YCTC-000087-0000-03 08 05/28/2013 0.00 0.00 0.00 3.16 0.00 38.18 87 YACHT CLUB PL 05/28/2013 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 1 Grand Total: 19.98 13.97 0.00 0.00 1.07 0.00 0.00 0.00 3.16 0.00 38.18 0.00 0.00 0.00 0.00 0.00 0.00