HomeMy WebLinkAboutRing - Assessment Fee - 6-8-26City of Atlantic Beach
Offsite Payment Form
► RECEIVED /
JUN it 8 2016
P
Date prepared:
06/08/26
Deposit Date:
Prepared
by:
Donna Bartle
Payment
Cash
GL Account or
Type
Receipt
Accounts Receivable
Code
Number
Description
Number
UN
Assessment fee for Candidate - Jessica Ring
001-0000-369.90-00
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: 2:13:20 PM
Receipt: 0000034578
Total Deposit
ITEM REFERENCE
AMOUNT
------------------
UN NON-SPECIFIC
UN
Cash
ASSESSMENT FEE
$112.43
AC H
TOTAL
$112.43
Checks
Money Orders
CHECK 1031
$112.43
Total Tendered:
$112.43
Total
Change:
$0.00
Revised: 9/w/u
O:\City Clerk\INTERNAL USE\ELECTION 2026\Qualifying\[Payment Form- Jessica Ring.xls]Form
Deposit
112.43
112.43