01-0386-005 MIAMI-DADE OFFICIAL RECEIPT
� MIAMI-DADS COUNTY. .JRIDA
RECEIVED FROM I �4 1 No 2855183
ADDRESS J ) Q DATE
STREET ADDRESS DAY
• ►'� 3 CASH $
AMOUNT OF: CITY 3 1 •-
STATE 2- CHECKS
DOLLARS UCI J w
ENT OF:
FOR PAYM i AND
� = CENTS
THIS RECEIPT NOT TOTAL
VALID U v $— 1 U'� Cy
UNLESS D
DEPT: J-- ATED, C OMP p y
LETED AND SIGNED BY AUTHO
FOR OFFICE USE ONLY ED EMPLOYEE OF DEPARTMENT.
ENT.
TRANS
SUBSIDIARY
INDEX CODE
uVQOBJECT
AMOUNT
107.01-1 S,98 i