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Ford - Assessment Fee - 8-27-24
City of Atlantic Beach � RECEIVED Offsite Payment Form AUG 2 7 2026 Date prepared: 08/27/24 Deposit Date: Prepared by: Donna Bartle Payment Cash GL Account or Type Receipt Accounts Receivable Deposit Code Number Description Number Amount UN Assessment fee for Candidate - Curtis Ford 001-0000-369.90-00 116.20 Total Deposit 116.20 Cash ACH Checks 116.20 Money Orders Total 116.20 Oper: ATLBLSC Type: OC Drawer: 1 Revised: 9/06/07 Date: 8/27/24 00 Receipt no: 69615 O:\City Clerk\INTERNAL USE\ELECTION 2024\Qualifying Process\[Payment Form- Curtis Ford.xls]Form N NON-SPECIFIC 1.00 $115.20 00100003699000 CI{ CHECK 1013 $116.20 Trans date: 8/27/24 Time: 11:27:46 0 ONUAR a