HomeMy WebLinkAboutIMPACT FEES11/16/2017 1:33 PM Salos Receipt 41'6925
Store:
St Lucie County Health Department
5150 NW. Milner Drive
Port St Lucie, FL 34983
Environmental Health' DI'vision
772-873-403.1
Item # 'City 'Price Ext Price.
j' 1 $15:00
M T
'QSTDS :County Sur
6 1 $75.00
$75,00 T
'Initial. Inspection
3 1 $'1-00:00'
$100.00 T
"New Application
30 1 $50.00
$50.00 T
`New Other Inspertic.
5 1 $55.00
$55.00 T
'New'Permit
7 1 $5.00
$5.06 T
*New Research Surd
4 1 $1.1.5A0
$115,OD.T
"New Site Evaluation
2 1 $'100:00
$10Q00 T
*New System Count
Subtotal;
$
Local Sales Tax 0 %, Tax:
+:$0.00
RECEIPT TOTAL:.
$516.00
-Ctedit Card: $515 00
VISA
Ideal holdings
Thank. You :& Have -a Good: Day!
ST LUCIE CHD
s
I.
5150 NW MILNER DR
1
PORT ST LUCIE, FL 34983
i
11/16/2017
13.36:46
CREDrr.CARD
VISA.SALE
Card # XXXXXXX*oW8589
SEQ #:
5
Batch #:
12905
INVOICE
5
Approval Code:
993963
Entry Method:
Manual
Mode:
Online
Tax Amount:
$0•00
SALE AMOUNT
$515a
CUSTOMER COPY
File Copy