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VEHICLE |I{FORIATION (,{o c.mp..! po.mltled)
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LICENSE PLATE *: I - IA4 / A'
CITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95442'16800 $,401
Ple63o prlnl legibly, fill ln or clrcl. .ll ltems
s+
arATE TAe BguEo B v, ft-
DANIA BEACH
sEA n uvE tT. to{E tT.
NAIE:
ADDRESS:
COLOR:
PR@F OF RESIDENCYTOIII ERIiHIP: PLEASE SHOW TO CASHTER wrltt AUTOXOaTLE REGTSTRATTON Ol{E
OFTHE FOLLOWI GI
CURREI{T UTIUW BILL SHOTUNG DANA BEACH ADDRES9
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WATER A ELEGIRE U PHo E E CAELE E voTER.sREcIsTRAfloN E
PROPERIY OWNER: YEs ts NO !
)da
65 oR oLDER: YEsIqh{-/
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cEr Wsf\rE iv <.- 4r a\/'-\zlP: .2 4 v\J
I - Jatn,o-
(Fr. rJ, xY, ou .-.)
';YI','o os!
PERI'IT
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lot
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ccrAcY 06 /M
FLORIDA VEHTCLE REGTSTRATION
PLATE I.DANIA DECAL 1.t237659 Expircs llldnlght [on 1l r1'1,:l02il
T# l5llit203l l
B{
TRIMK zE2I,'OYT BODY UTVIN
'TOYARAHOTBSOO4IOPl.t. Tytt€ RGP NET \l'T alL
EL/FEID lrrlloTtoaoatialt zndDl
txrc tssrrcd 0eO2J202t Pl.lc tssocd Oanttm', TMNSFER
ROBERT JO€ DOI{LY, *EREOITH KOHLER
DONLY
35' 6E OTH ST
DA{|A BEAC}|, Fl lt00{{723
RGP. FLORIDA PERSO ALIZEO
1.10 Cl.rr Codc
frr Mon63
1"00 Drat Tlr Moi
Crodit Clar!
Crcdit Motdlt
6.10
IMPORTANT INR)RMATION
I . The Fk ddr liccnla tlalc mutr rcr&in l,ith lhc .ctittr.hl uPon c'le of vrhiclE'
2. Thc llgilnrion mun bc dclivcrcd lo a Trx Collccto. or Tr8 Agc for lrrntfct lo
! rcohc.mattt vcl clc,
1. YoJr rcristr.tlo[ nrutt bc dDdrtcd to your now ldlrtsu vtithilr ]0 d.y8 ofnuvilu
4. Rcdlmfioo .cncwdr rtE tho Erponsibility of 0to tcti|||rnt d tbll ocslr durinS
thc10{ry pc od prior to tl|o cxpitrlion dltc al|o*n on this rt8itltttion Rcncwd
mticcr otc;mviM ar r qruncty md !rc noa lql{tirld for tcncwd put oscs
5. I urdcd|nd Ihtrt mv driv€r lic€nlc snd Egiiuatiolrr will bc suspcndtd
imnrc<tiarcly if thc insurcr dcoi.! rhc inculrncr infor llio subrnittcd fot thi!
rcgis(.!(on.
coLon
TITLE
REO Rcg. T.rt439lt0J?t loil Rq
County Fle
Mril $co
D5a05!t4il5'430 sdcrTuX Vobnlrry Fcls
Grmd Total
I
t5
Transaction Statement
Service Address
354 SE 6 ST
DANIA BEACH, FL 33004
Mailing Address
MEREDITH DONLY
354 SE 6 ST
DANIA BEACH, FL 33004
Account Number From - Throuoh
600032-002 312212022 - 9122t2022
Service Address
354 SE 6 ST
DANIA BEACH, FL 33004
Beginning Balance
($B6.oo)
Account Number Amount Due
600032-002 ($26.56)
Services
Meter Base
Water and Sewer
Date Type Amount Running Balance Description
o3t28t2022
0411512022
04t18t2022
0511312022
06t10t2022
0611412022
06t17 t2022
0711412022
07 t15t2022
07 t28t2022
08t12t2022
09t16t2022
Payment
Bitl
Payment
Bitl
Bitl
Payment
Payment
Adjustment
Biil
Payment
Bitl
Bitl
($74.00)
$61.45
($86.00)
$73.41
$61.45
($61 .21)
($1 1 1.14)
$61.21
$61.45
($74.00)
$61.45
$85.37
($160.oo)
($e8.55)
($184.55)
($11 I .141
($4e.6e)
($1 10.s0)
($222.o4)
($160.83)
($ee.38)
($173.38)
($11 1.s3)
($26.56)
Wire Transfer/ACH/EFT
Due Date 0510512022
Wire Transfer/ACH/EFT
Due Date 0610212022
Due Date 0613012022
Wire Transfer/ACH/EFT
Wire Transfer/AcH/EFT
Adjustment Reason: Missapplied Payment
Due Date 0810412022
Wire Transfer/ACH/EFT
Due Date 0910112022
Due Date 1010612022
Account Number
Total Due
($26.56)
Transaction Statement
600032-002