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1 I . �• � • � � + • .- � <br /> Category Code Business Type Un'rts Tax I <br /> 47.01 380.OQ0010 Retail sales Receipt Fee 30.00 <br /> ' Hazardous Waste Surcharge 0.00 <br /> Law Library Fee 0.00 <br /> I <br /> Paymerrts not received priorto Oct 1.are delinquent. Business EDWARD ENTZE JR <br /> 105 BURCHWOOD AVE <br /> Make checks payable in US funds to: PLANT CITY,FL 33563�502 <br /> Doug Belden,Tax Collector PO Box 30012 Tampa,FL 33630-3012 <br />� Remember to write your account number on check. Name EDWARD ENTZE JR <br /> Please Pay $30.00 $30.00 $30.00 $30.00 $30.00 Mailing 105 BURCHWOOD AVE <br /> Address PLANT CITY,FL 33563�502 <br /> If Jul 31, Aug 31, Sep 30, Oct 31, Nov 30, � <br /> Recelved 2015 2015 2015 2015 2015 � <br /> gy X <br /> Signature&Titie <br /> ' 1 swear or a�rm this application for business tau is For ih business, <br /> occupation or profession indicatetl hereon and is true and correct. <br /> 7 00015331 2016 9 <br />