Form 9-10 04 (2)A.D. FORM 9
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
From Whom
James Couto
ck # 1420
129 State Road
Variance
To the Departmental Officer making the Payment:
Three Hundred Ninety One 02/00
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
James Couto
ck # 1420
129 State Road
Variance
To the Departmental Officer making the Payment:
Three Hundred Ninety One 02/00
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
2/14/2018
TOWN COLLECTOR
2/14/2018
CHARGE
44122
43716
CHARGE
44122
43716
Date
Check
360
31.02
Total Checks
Total Cash
Total
Date
Date
Check
360
31.02
Total Checks
Total Cash
Total
Date
Signature of Department Head
Town Collector
2/14/2018
2/14/2018
the sum of
Dollars
for
2/14/2018
2/14/2018
the sum of
Dollars
for
Cash
Cash
Total
360
31.02
391.02
391.02
Total
360
31.02
391.02
391.02