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2937 Willow Oak Drive - Jackson, Gary - 02-08-2023 - $427.272/8/2023 10:18:08 AM Instrument #2023025241 #1 Book:8365 Page:3839 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 #: 8402-01-13-0470 (29389-8005). The record owner is JACKSON, GARY L, 2937 WILLOW OAK DR, EDGEWATER, FL 32141-5630 The City hereby claims a lien in the amount of FOUR HUNDRED TWENTY-SEVEN and 27/100 dollars ($427.27), 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 ' I Glenn A. Irby, City Manager Dated: February 1, 2023 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, City 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 he executed the same by means of ®physical presence or (]online notarization. WITNESS my hand and official seal in the County and State last aforementioned this 151 day of February 2023. ,.rxe s MONIQUETOUPIN (Seal/Stamp) ' ` ' x.`: Commission # HH 142679 yY: Expires June 15, 2025 ' r*`• ' Bonded Thru Troy Fein Insurance 800.385.7019 YO Nota Public tignature Volusia County Property Appraiser :: / ` VOlU51A COUNTYPROPERT/ APPRAISER 123 W. Indiana Ave., Rm. 102 LARRY BARTLETT, JD, CFA Deland, FL. 32720 WE VALUE VOLUSIA 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: 2022 Final 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 19.1036 4743 Yes https://vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 1 A Customer at a Glance Account 29389-8005 Customer Information i Customer name: JACKSON, GARY Billing address: 2937 WILLOW OAK DR EDGEWATER, FL 32141-5630 Delivery point: Phone number: 0 Customer status: ACTIVE Social security: Driver's license: Group number: 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 Customer Account Information Current balance: 9,229.47 Deferred amount: 0.00 Amount due: 9,229.47 Pending: 0.00 ' Delinquent amount: 9,229.47 Last notice: Cutoff date: 2/07/23 Cycle/route: 02 / 15 Deposit: Yes Payment plan: No Service Summary — 3 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 * 098201 8/04/2016 CO ON WA 000