Form 9-10 state rdA.D. FORM 9
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
From Whom
Att. Peter Bullard
8 Washburn Lane
Ck# 3652
To the Departmental Officer making the Payment:
Three Hundred Sixty-Eight 00/00
for the
collections as per schedule of this date, filed in my office.
A.D. FORM 10
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
From Whom
Att. Peter Bullard
8 Washburn Lane
Ck# 3652
To the Departmental Officer making the Payment:
Three Hundred-Sixty Eight 00/00
for the
I have paid to the Town Treasurer, whose receipt I hold therefore.
Received of
Period
Received of
Period
to the Town Collector whose receipts I hold therefore.
Source
Petitions
Postage
Source
Petitions
Postage
Town Collector whose receipts I hold therefore.
TOWN OF DARTMOUTH
Dept.
Zoning Board of Appeals
TOWN OF DARTMOUTH
Dept.
Zoning Board of Appeals
Zoning Board of Appeals
ORG-OBJ #
01000-44122
01000-43716
ending
Zoning Board of Appeals
ORG-OBJ #
01000-44122
01000-43716
ending
1/11/2020
TOWN COLLECTOR
1/9/2020
CHARGE
44122
43716
CHARGE
44122
43716
Date
Check
360
8
Total Checks
Total Cash
Total
Date
Date
Check
360
8
Total Checks
Total Cash
Total
Date
Signature of Department Head
Town Collector
1/9/2020
1/9/2020
the sum of
Dollars
for
1/9/2020
1/9/2020
the sum of
Dollars
for
Cash
Cash
Total
360
8
368
368
Total
360
8
368
368