RECEIPT

JOSEPH ABRUZZO 4192641

CLERK OF THE CIRCUIT COURT & COMPTROLLER

Printed On:
PALM BEACH COUNTY, FLORIDA 09/29/2021 10:22
Page 1 of 1

Receipt Number: 4192641 - Date 09/29/2021 Time 10:22AM

Received of: Freeborn LLP

Cashier Name: JSustache Balance Owed: 848.50

Main Branch Circuit Civil/Probate/

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Cashier Location: Total Amount Paid: 3.00
Marriage License
Receipt ID: 10532002 Remaining Balance: 845.50
Division: AH: Circuit Civil Central - AH(Civil)

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Case# 50-2016-CA-009292-XXXX-MB -- PLAINTIFF/PETITIONER: FIRST AMERICAN BANK
Item I Balance I Paid I Bal Remaining

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Fees 848.50 3.00 845.50

Case Total 848.50 3.00 845.50

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Payments
Type I Ref# I Amount
CREDIT 32444610 3.00
FI
Total Received 3.00
Total Paid 3.00
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How was your service today? Please visit www.mypalmbeachclerk.com/survey or send your
feedback to clerkweb@mypalmbeachclerk.com.
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For office locations and information about Clerk & Comptroller services:
Visit www.mypalmbeachclerk.com or call (561) 355-2996.
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