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2937 Willow Oak Drive - Jackson, Gary - 10-26-2021 - $512.3310/26/2021 11:51:43 AM Instrument #2021257178 #1 Book:8143 Page:3318 Laura E. Roth, Volusia County Clerk of Court UTILITIES LIEN CITY OF EDGEWATER JACKSON, GARY Pursuant to the provisions of Chapter 19 (Section 19-6), Code of Ordinances, City of Edgewater, Florida, the City of Edgewater (the "City") furnished utilities services to the following described real property located in Volusia County, Florida: LOTS 13047 TO 13049 INC BLK 418 FLORIDA SHORES UNIT 20 MB 19 PG 240 PER OR 4493 PG 0537. Property location: 2937 WILLOW OAK DR EDGEWATER, FL 32141 Parcel 9: 8402-01-13-0470 (29389-8005). The record owner is JACKSON, GARY, 2937 WILLOW OAK DR, EDGEWATER, FL 32141 The City hereby claims a lien in the amount of FIVE HUNDRED TWELVE and 0.33/100 dollars ($512.33), plus interest in the amount of seven percent 7% per annum from the date the utility bill was rendered, filing fees, and any other costs incurred by the City. WITNESSES: Signed, sealed and delivered in the presence of: STATE OF FLORIDA COUNTY OF VOLUSIA CITY OF EDGEWATER, FLORIDA Glenn A. Irby, City Manager Dated: October 20, 2021 I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Glenn A. Irby, Ci Manager for the City of Edgewater, who is duly authorized to execute this document on behalf of the City of Edgewater, Florida, and is personally known to me and who executed the foregoing instrument and acknowledged before me that lie executed the same by means of ®physical presence or Clonline notarization. WITNESS my hand and official seal in the County and State last aforementioned this 20"' day of October 2021. Notary Pu lic Signature (Seal/Stamp) ;; >°"� `.z MONIQUE TOUPIN Comml9310n # HH 142679 Expires June 1S, 2025 '��P�a��'� Oonded 1T�u iroy Faln inawsnoo 804.3857119 ME �� .. VOIUSIA CAUNTY PROPERTY APPRAISER LARRY BARTLETT, JD, CFA �- WE VALUE VOLUSIA Volusia County Property Appraiser 123 W. Indiana Ave., Rm. 102 Deland. FL. 32720 Phone: (386) 736-5901 Web: vcpa.vcgov.org Parcel Summary Alternate Key: Parcel ID: Township -Range -Section: Subdivision -Block -Lot: Owner(s): Mailing Address On File: Physical Address: Property Use: Tax District: 2020 Certified Millage Rate: Neighborhood: Business Name: Subdivision Name: Homestead Property: 3954637 840201130470 18-34-02 01 -13-0470 JACKSON GARY L - FS - Fee Simple - 100 2937 WILLOW OAK DR EDGEWATER FL 32141 5630 2937 WILLOW OAK DR, EDGEWATER 32141 0100 - SINGLE FAMILY 604-EDGEWATER 20.55 4743 Yes https://vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 1 Property Description NOTE: This property description may be a condensed/abbreviated version of the original description as recorded on deeds or other legal instruments in the public records of the Volusia County Clerk of Court. It may not include the Public Land Survey System's Section, Township, Range information or the county in which the property is located. It is intended to represent the land boundary only and does not include easements or other interests of record. This description should not be used for purposes of conveying property title. The Property Appraiser assumes no responsibility for the consequences of inappropriate uses or interpretations of the property descriptions found on this site. LOTS 13047 TO 13049 INC BLK 418 FLORIDA SHORES UNIT 20 MB 19 PG 240 PER OR 4493 PG 0537 https://vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 2 10/19/21, 9:26 AM CX - A customer at a glance Account 29389-8005 Customer Information — Customer name: JACKSON, GARY Billing address: 2937 WILLOW OAK DR 7,706.88 EDGEWATER, FL 32141-5630 Delivery point: Amount due: Phone number: 0 Customer status: ACTIVE Social security: Last notice: Driver's license: Cutoff date: Group number: Cycle/route: Auto Pay payment: NO AUTO PAY Penalty exempt: No Tax exempt: No — Customer Alerts Confidential: No Cash only: No IDB account: Special code: .' Special notes: Yes NSF count: 1 Reinstate owner: No Service Summary Service address: 2937 WILLOW OAK DR. EDGEWATER, FL 32141 Initiation date: 11/01/1999 Account status: ACTIVE Customer type: OW OWNER Service Rate Group Status Meter RC EW/R /I ACTIVE RF EW/R /I ACTIVE ST EW/R /I ACTIVE SW EW/R /I ACTIVE WA EW/R /I ACTIVE 51295873 Pending and Recent 5 Service Orders — Number Request Status Type Svc Seq 132318 6/12/2020 CO PM WA 000 100553 11/08/2016 CO LP WA 000 .- 100424 11/03/2016 CO OF WA 000 httpsd/edge.aspgov.com:8100/naviline/session?fncid=CXS0000412&token=A783E3C8A783D7C2A6FOC2Cl D8Cl C1 C1 C1 C1 C795C7A584E96161 C... 1/2 Customer Account Information — .' Current balance: 7,706.88 Deferred amount: 0.00 Amount due: 7,706.88 Pending: 0.00 .' Delinquent amount: 7,627.51 Last notice: Cutoff date: 10/07/21 Cycle/route: 02 / 15 Deposit: Yes Payment plan: No Service Summary Service address: 2937 WILLOW OAK DR. EDGEWATER, FL 32141 Initiation date: 11/01/1999 Account status: ACTIVE Customer type: OW OWNER Service Rate Group Status Meter RC EW/R /I ACTIVE RF EW/R /I ACTIVE ST EW/R /I ACTIVE SW EW/R /I ACTIVE WA EW/R /I ACTIVE 51295873 Pending and Recent 5 Service Orders — Number Request Status Type Svc Seq 132318 6/12/2020 CO PM WA 000 100553 11/08/2016 CO LP WA 000 .- 100424 11/03/2016 CO OF WA 000 httpsd/edge.aspgov.com:8100/naviline/session?fncid=CXS0000412&token=A783E3C8A783D7C2A6FOC2Cl D8Cl C1 C1 C1 C1 C795C7A584E96161 C... 1/2 10/19/21, 9:26 AM CX - A customer at a glance 098201 8/84/2016 cc ON WA 000 094725 4/05/2016 cc ON WA 000 Service Address Map m a CI 3 9 �h S1 u ® 9 dq 3 0 e 30`es r} o Google 54 Map dale 02021 Accounts receivables I Credit history data WA WATER I Deposits Pending transactions Recent activity Option Tm Type Type Trn Date 8/28/21 RF Adj 'a C- :a Bill 9/24/21 Delinquent Fee 20 Adj m a CI 3 9 �h S1 u ® 9 dq 3 0 e 30`es r} o Google 54 Map dale 02021 Accounts receivables I Credit history data WA WATER I Deposits Pending transactions Recent activity Option Tm Type Type Trn Date 8/28/21 RF Adj 10/08/21 C- BL Bill 9/24/21 Delinquent Fee 20 Adj 9/20/21 — RF Adj 9/07/21 BL Bill 8/24/21 CYCLE BILL 20 Adj 8/18/21 [ _ _ RF Adj 8/04/21 Cr BL Bill 7/26/21 20 Day Penalty 20 Adj 7/20/21 r RF Adj 7/06/21 6/17/21 BL Bill 6/24/21 20 Adj 6/18/21 RF Adj 6/07/21 BL Bill 5/26/21 20 Adj 5/19/21 Description Bill Date Due Date Disconnect Fee 8/28/21 CYCLE BILL 91W21 10/18/21 20 Day Penalty 8/28/21 Delinquent Fee 7/28/21 CYCLE BILL 8/28/21 9/17/21 20 Day Penalty 7/28/21 Disconnection Fee 6/28/21 CYCLE BILL 7/28/21 8/17/21 20 Day Penalty 6/28/21 30 Day Delinquent 5/28/21 CYCLE BILL 6/28/21 7/19/21 20 Day Penalty 5/28/21 30 Day Delinquent 4/28/21 CYCLE BILL 5/28/21 6/17/21 20 Day Penalty 4/28/21 W N �! 13ll4JSl qlIM Amount 35.00 79.37 3.97 35.00 79.37 3.97 35.00 79.37 3.97 35.00 79.37 3.97 35.00 79.37 3.97 Runnin 7,706.8 7,671.81 7,592-5 7,5885 75535- 7,474.1-, 7,470.2 7,435.2, 7,355.8: 7,351.8E 7,316.8( 7,237.4! 7,233.5: 7,198.5, 7,119.15 https://edge.aspgov.com:81001naviline/session?fncid=CX50000412&token=A783 E3CBA783D7C2A6FOC2C 1 D8C 1 C1 C l Ct C1 C795C7A584E98161 C... 212