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Norris - Assessment Fee - 8-30-22 City of Atlantic Beach Offsite Payment Form Date prepared: 08/29/22 Deposit Date: 08/30/22 Prepared by: Donna Bartle Payment Cash GL Account or Type Receipt Accounts Receivable Deposit Code Number Description Number Amount UN Assessment fee for Candidate-Brittany Norris 001-0000-369.90-00 106.72 Total Deposit 106.72 Cash ACH Checks 106.72 Money Orders Total 106.72 • Oper: ATLDNRP Type: OC Drawer: 1 Date: 8/30/22 00 Receipt no: 89334 Revised: 9/06/07 UN NON-SPECIFIC O:\City Clerk\INTERNAL USE\DONNAs\ELECTION 2022\Qualifying Paperwork\[Payment Form-Brittany Norii8019%00 1.00 $106.72 ASSESSMENT FOR CANDIDATE CK CHECK 100 $106.72 Trans date: 8/30/22 Time: 10:48:46