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9-10 form A.D. FORM 10 TOWN OF DARTMOUTH SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR Dept. Zoning Board of Appeals Date March 16, 2021 From Whom Source ORG-OBJ # CHARGE Check Cash Total R. Rheaume Petitions 01000-44122 44122 360 360.00 1 Redwood Street Ck 1493 Postage 01000-43716 43716 18.26 18.26 Total Checks 378.26 Total Cash Total 378.26 Date March 16, 2021 To the Departmental Officer making the Payment: Received of Zoning Board of Appeals the sum of Three Hundred Seventy-Eight 26/00 Dollars for the Period ending March 20, 2021 for I have paic to the Town Collector whose receipts I hold therefore. Signature of Department Head Town Collector