HomeMy WebLinkAboutStaats - Assessment Fee - 6-8-26City of Atlantic Beach
lancy Staats.xls]Form
Offsite Payment Form
► RECEIVED
JUN U 8 2016
Date prepared:
06/08/26
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 - Nancy Staats
001-0000-369.90-00 139.62
ATLANTIC BEACH CITY
800 SEMINOLE RD —
ATLANTIC BEACH, FL 32233-5445 —
United States
Phone : (904) 247-5800
COAB.US
Received From:
Date: 06/08/2026 Time: 1:18:00 PM
Total Deposit 139.62
Receipt: 0000034557
ITEM REFERENCE AMOUNT
Cash
UN NON-SPECIFIC
AC H
CANDIDATE ASSESSMENT FEE $139,62
Checks 139.62
TOTAL $139,62
Money Orders
CHECK 1001 $139.62
Total Tendered: $139.62
Total 139.62
Tp
Ch -I,
Change: $0.00
lancy Staats.xls]Form