Ray - Assessment Fee - 08-24-20Date prepared:
Deposit Date:
Prepared by:
Payment Cash
Type Receipt
Code Number
City of Atlantic Beach
Offsite Payment Form
08/24/20
08/24/20
Donna Bartle
Description
UN Assessment fee for Candidate - Terri Ray
AUGECE
zA 2020
D
GL Account or
Accounts Receivable Deposit
Number Amount
001-0000-369.90-00
102.28
Total Deposit 102 28
Cash
ACH
Checks
Money Orders
102 28
Total 102 28
Revised: 9/06/07
O:1City Clerk\INTERNAL USE\Election 20201Qualifying Documents1[Payment Form- Terri Ray.xls]Form
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Date:
UN
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