HomeMy WebLinkAboutInv# 1701-100-006433 - Edry - 08/28/2023CC\
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DANIA BEACH
SEAIT,LIVE IT.LOO IT,
CITY OF DANIA BEACH
DEPARTMENT OF FINANCE
CHECK REQUEST
No: 1701-100-006433
Date Check Requested: August 28, 2023
Date Check Required:
Please Issue e check lh the amount of:
Person Completing Form: Shannan \Jlkbb
(Enter date only If needed before next cycle)
$580.00
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Vendor No (H known): _______________ _
If vendor number is unknown, please complete Vendor Name
If adding a new vendor, please complete all fields below
Vendor Name: Ariel Edry
Vendor Address: ~981 SW 58 S tr eel
Vendor Address 2:
Vendor City: --,D"'a:-:n:'!:ia::-,o;Bc::'.e7ac"".:'lh~----------
Vendor State: FL Vendor ZIP: 3331 2
Vendor Phone:--gs-zr-57 o-4479 ------
Vendor Fax:
Purpose / Description:
Cancellation of application for vacation rental certificate.
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CAA ✓City Hall
DEPARTMENT HEAD
$580.00
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RECEIPTS, APPLICATIONS OR OTHER DOCUMENTATION MUST BE SUBMITTED
WITH CHECK REQUEST OR WITHIN FIVE(5) DAYS OF RECEIPT OF CHECK
CHECK DISPOSrrlON INSTRUCTIONS:
Mall to Vendor: DellverTo: ✓ Shannan \Jlkbb
Name
PAYMENT DATE
08/01/2023
COLLECTION STATION
City Hall Window 2
RECEIVED FROM
Ariel Edry, Ariel Edry
DESCRIPTION
PAYMENT CODE
City of Dania Beach
100 W. Dania Beach Blvd.
Dania Beach, FL 33004
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RECEIPT DESCRIPTION
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BATCH NO.
2023-11001175
RECEIPT NO.
2023-00039975
CASHIER
fincashier2
ENTRY DATE
08/01/2023 12:06:09 AM
TRANSACTION AMOUNT
Contractor Regis I Contractor Registration I $530 .00
License Type and Number (Renewal) 20434 -Ariel Edry Ariel Edry
--------------------------------· ------,--2022-00000166 _______ ··----------------------------·-· -----------,------· ---· ·-----· -----· _ .. ------· ----··--· ---· -----__ ....
CU Certificate of Use $50.00
____________ -------------------------------------__ CU-23-141 ___________ ·-----·------------·-··· ___________________ ·--------·--· ____________ _J ___________ ·--·-··· .... ______________ _
Payments: I Type Detail Amount
Check 1600 $580 .00
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Total Amount: $580.00
Customer Copy
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Printed by: fincashier2 Page 1 of 1 08/01/2023 12:06:09 AM
9/1/23 , 3 :56 PM
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G/L Date 08/0 1/2023
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Tota l Amount $580.00
Received From Ariel Edry
Cashie r fmca shier2
Co ll ection Station City Hall Window 2
Rece ipt Description
Payment Date 08/0 1/2023
Entry Date 08/0 1/2023 12:04:18 PM
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