Okaloosa County BOCC — June 7, 2016 — R - Invoice 89139 - Processing Fee Plus 2016-2017 Annual Lease Fee

            DEPARTMENT OF ENVIRONMENTAL PROTECTION     RECEIPTS SECTION     POST OFFICE BOX 3070     TALLAHASSEE, FL 32315-3070          Bill To:          OKALOOSA COUNTY, FLORIDA          BOARD OF COUNTY COMMISSIONERS INVOICE          1250 E. ELGIN PARKWAY          SHALIMAR, FL 32579 ** INVOICE / INSTRUMENT INFORMATION ** Invoice #: 89139 Instrument #: 460017681 Invoice Date: 05/09/2016 Expiration Date: 05/04/2021 Due Date: 06/08/2016 Extended Term Fee: NO Rate: BASE RATE Location: OKALOOSA ISLAND PIER ** IMPORTANT REMINDERS ** If paying by mail, please return invoice with your payment to the above address. Online payment by check, credit card or debit card is available at http://www.fldepportal.com/go/pay-invoices/. Late payments are subject to a 12% Interest fee pursuant to FAC 18-21.011(1)(b)11. INFORMATION ANNUAL LEASE FEE DATA Net Extended Description Memo Object Square Rate Discount *Amount Term Fee Feet SUBMERGED LAND RENEWAL 001018 23,421 0 N/A N $639.00 FEE Subtotal $639.00 Sales Tax (0.0%) $0.00 County Tax (0%) $0.00 Total $639.00 Note: AGENT: C. WALLACE. SSR Invoice $639.00 Balance Due Instrument/Lease $3,457.35 Balance Due ANNUAL LEASE FEE FORMULA = BASE FEE* - DISCOUNT + EXTENDED TERM FEE *BASE FEE = Base Rate x Net Square Feet OR *BASE FEE = Minimum Rate DISCOUNT = Base Fee x Discount Perc