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Inv# PC - 6722 - IDENTICO, LLC - 09/09/2022
IDENTICO 3948 Pembroke Rd Pembroke Park, FL 33021 US (954) 239-8590 info@myidentico.com www.myidentico.com INVOICE BILL TO Mitzie Spear City of Dania Beach 100 W.Blvd Dania Beach, FL 33004 INVOICE #62923 DATE 07/28/2022 TERMS Due on receipt ACTIVITY QTY RATE AMOUNT DCF, APD,CDC EDCFSC Live Scan Screening. All fees included (O) 1 62.00 62.00 TCN# 70CB30B000000000004178 Frank Chavez FDLE# 850-410-8161 ( VECHS, TCN# VERIFICATION) CLEARINGHOUSE# 850-412-4503 (AHCA, DCF, APD, DOH, MEDICAID) DBPR# 850-487-1395 EDOH# (850)245-4444 PAYMENT 62.00 BALANCE DUE $0.00