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Norris- Assessment Fee- 6-23-17
City of Atlantic Beach Offsite Payment Form Date prepared: 06/19/17 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 - B. Noris 001-0000.369.90-00 59.01 Total Deposit 59.91 Cash ACH Checks 59.01 Money Orders Total 59.01 Oper: OTLBBJA Type: 0C Grauer: 1 Revised: 91OW07 Date: 623/17 00 Receipt no: 55702 O1C4Clerk\INTERNALUSEIELECTIONS201TFor OuallfyingNCopyof Offsite Payment Form -B. Noms.d��Ns]Form NON-SPECIFIC 1.OG 559.01 00100003699000 ASSESSMENT FEE- NORRIS Cl( CHECK 99 $59.01 Trans date: 6/23/17 Time: 9:17:57