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12/18/2013 (5) RECEIPT REPORT Date: 12/18/13 Time: 9:35am 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 ------------------------------------------------------------------------------------------------------------------------------------------------------------- 1120840143 MICHAEL BALDWIN CYCLE 1 1 15.66 28.12 0.00 0.00 2.16 CCDS-018870-0000-04 12 12/18/2013 0.00 0.00 0.00 53.60 0.00 100.00 18870 SE COUNTRY CLUB DR 12/18/2013 0.00 0.46 0.00 0.00 0.00 42.15 1054450117 E. THOMAS BAILEY CYCLE 1 2 20.25 14.15 0.00 0.00 1.09 CCDS-019406-0000-01 05 12/18/2013 0.00 0.00 0.00 8.87 0.00 44.36 19406 SE COUNTRY CLUB DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 2200860178 STEVEN MATHESON (RENTER) CYCLE 1 3 11.25 14.15 0.00 0.00 1.09 CLR -003900-026D-05 20 12/18/2013 0.00 0.00 0.00 6.62 0.00 33.11 3900 COUNTY LINE RD #26D 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 1100450139 JAMES BRIAN QUINN CYCLE 1 4 9.24 14.15 0.00 0.00 1.09 DVRN-000542-0000-03 10 12/18/2013 0.00 0.00 0.00 2.18 0.00 26.66 542 N DOVER RD 12/18/2013 0.00 0.00 0.00 0.00 0.00 -0.24 1081990149 JESSICA WILLOUGHBY OWNER CYCLE 1 5 122.18 14.15 0.00 0.00 1.09 GLFD-000098-0000-04 08 12/18/2013 0.00 0.00 0.00 14.95 0.00 152.37 98 GOLFVIEW DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 2190603656 JOHN FREY CYCLE 1 6 13.50 14.15 0.00 0.00 1.09 MAYO-019085-0000-02 19 12/18/2013 0.00 0.00 0.00 7.19 0.00 35.93 19085 SE MAYO DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 1061430128 THERESA KOZELL CYCLE 1 7 44.60 14.15 0.00 0.00 1.09 PTCR-000119-0000-02 06 12/18/2013 0.00 0.00 0.00 2.79 0.00 62.63 119 POINT CIR 12/18/2013 0.00 0.00 0.00 0.00 0.00 -28.85 1071750126 W.A &PEGGY VERHOEVEN CYCLE 1 8 96.53 14.15 0.00 0.00 1.09 PTDR-018996-0000-02 07 12/18/2013 0.00 0.00 0.00 10.06 0.00 121.83 18996 POINT DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 2140640171 TARA O'PRANDY CYCLE 1 9 11.25 14.15 0.00 0.00 1.09 RDWD-000003-0000-07 14 12/18/2013 0.00 0.00 0.00 2.38 0.00 28.87 3 RIDGEWOOD CIR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 1061330129 BRIAN BOBBITT CYCLE 1 10 6.75 14.15 0.00 0.00 1.09 RVRD-000116-0000-02 06 12/18/2013 0.00 0.00 0.00 1.98 0.00 23.97 116 RIVER DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 1101070165 BRIGIDANN FORMAN CYCLE 1 11 17.17 14.15 0.00 0.00 1.09 SEBR-000361-0000-06 10 12/18/2013 0.00 0.00 0.00 2.59 0.00 35.00 361 SEABROOK RD 12/18/2013 0.00 0.00 0.00 0.00 0.00 -3.67 1096600121 RANDY CROPP CYCLE 1 12 56.91 14.09 0.00 0.00 1.09 TTCD-000218-0000-02 09 12/18/2013 0.00 0.00 0.00 18.10 0.00 90.19 218 TURTLE CREEK DR 12/18/2013 0.00 0.00 0.00 0.00 0.00 0.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------- Total Payments: 12 Grand Total: 425.29 183.71 0.00 0.00 14.15 0.00 0.00 0.00 131.31 0.00 754.92 0.00 0.46 0.00 0.00 0.00 9.39