Reeves- 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. Reeves 001-0000-369.90-00 95. 81
Total Deposit 95. 81
Cash
ACH
Checks 95. 81
Money Orders
Total 95. 81
on ATI RI AE ti-._ ` D . ii
Revised: 9106/07 at- . 5/ 15/ 1h fo : .:_- _ int nn : hi ;. �_-
O:\City Clerk\intemal use\DONNAs\Elections 20151For Qualifying\Assessment Fee Invoice1[Copy of Offsite Payment Fenn; M. Rp$y0 .xls]f -- J_ , 1
00100r 1:Thqq000
-- ri
L \ „ . F\ II nil,
Trans dat9 : 6/ 15/ 15 Tinp ! 12 : 55 : 5