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Mark- Assessment Fee 6-15-15
City of Atlantic Beach Offsite Payment Form Date prepared : 06/12/15 Deposit Date: 06/15/15 Prepared by: Donna Bartle Payment Cash GL Account or Type Receipt Accounts Receivable Deposit Code Number Description Number Amount UN Assessment fee for Candidate - M. Mark 001 -0000-369.90-00 58 . 31 Total Deposit 58. 31 Cash ACH Checks 58 . 31 Money Orders Total 58 . 31 Revised: 9/06/07 Gaze : 15/ 15 00 Receipt no : 60335' O:\City Clerk\internal use\DONNAs\Elections 2015\For Qualifying\Assessment Fee Invoice\[Copy of OffsIte Payment Fith* M - �(sixis]For 0010000360,0000 1153- FEE i` . HART CV. CHECK 1007 $50. Trans Hats : 6/ 15/ 15 Tins : 14 : 01 : 52