Woods, Carolyn- Assessment Fee- Receipt City of Atlantic Beach Received
Offsite Payment Form
JUN 17 2013
Date prepared: 06/14/13
Deposit Date: 06/17/13 Office of City Clerk
Prepared by: Donna Bartle
Payment Cash GL Account or
Type Receipt Accounts Receivable Deposit
Code Number Description Number Amount
UN Assessment fee for Candidate-C.Woods 001-0000-369.90-00 94.86
Total Deposit 94.86
Cash
ACH
Checks 94.86
Money Orders
Total 94.86
•
Oper: ATLBDAS Type: OC Drawer-: 1
Revised: 9/06/07 Date: 6/17/13 01 Receipt no: 6331.8
0:City Cleddintemal use\DONNAMELECTION 2013\Offsite Cash Receipts for Qualifying\[Copy of OffSltle Payment fixtfIM-ECE.flYbods.xls]Form
1.00 a914.•as
00100003690000
C. WOODS
CK CHECK 1010 $91,3L,
Irene date: 6/17/13 Time: 12:22:04