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Print Receipi Page I of I <br /> Payment Confirmation <br /> YOUR PAYMENT HAS PROCESSED AND THIS IS YOUR RECEIPT <br /> Your account has been billed for the following transaction, You will receive a receipt via ernail, <br /> AV%Transaction Processed Successfully. <br /> INVOICE 1 f4c3dl 1-56c2-49al-9016-84de4ad I 7d8o <br /> Description- -T-Appricant,License of Registration Number Amount I <br /> SPECIAL PERMIT <br /> 1 99 West LLC <br /> $4,000,00 <br /> ................................... $4,000.00 <br /> Total Convenience Fee: $94,0() <br /> Date,Paid: 9124/2019 3°19 19 PM EDT Total Amour,, Paid: $4,094,00 <br /> Payment On Behalf Of Billing Information <br /> License.Number or Business Name-, First Name: <br /> 99,West LLC Licensing Dept, <br /> Last Name* <br /> License Type: OCharleys Inc <br /> SPECIAL.PERMIT <br /> Address:. <br /> 3038 Sidon Drive <br /> Nashville <br /> State: <br /> TN <br /> Zip Code: <br /> 37204 <br /> Email Address: <br /> https://NN,Nvw.ii.court.coi-o/x-press!PrititReceipt.a,-.px 9/24/2019 <br />