Reeves, Mitchell- Assessment Fee ReceiptDate prepared:
Deposit Date:
Prepared by:
Payment Cash
Type Receipt
Code Number
City of Atlantic Beach
Offsite Payment Form
06/17/13
06/17/13
Donna Bartle
Description
Received
JUN 1 7 2013
Office of City Clerk
GL Account or
Accounts Receivable Deposit
Number Amount
UN Assessment fee for Candidate - M. Reeves 001-0000-369.90-00 94.86
Total Deposit
Cash
ACH
Checks
Money Orders
Total
94.86
94.86
94.86
()per: MINAS Type: 06 Dra,-ies: I
Revised: 9/06/07 Date: G/17/13 01 [o it no: 6351G
0:lCity Clerk\intemal use\DONNAs\ELECTION 2013kOffsite Cash Receipts for Qualifying[Copy of Offiet‘ Payment FlifftiF44es.xls]Forr
1.00
00100003699000
M. REEVES
ER CHEM
1100
Trans date: 6/17/49 Time: 15:17:06