Form 9-10-receipts to collectorsA.D. FORM 9
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
From Whom
Poyant Signs
RE: Valley Top
1047 Allen St.
Ck # 2642
To the Departmental Officer making the Payment:
Seven Hundred Eighty-Eight 52/00
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
Poyant Signs
RE: Valley Top
1047 Allen St.
Ck # 2642
To the Departmental Officer making the Payment:
Seven Hundred Eighty-Eight 52/00
for the
I have paid to the Town Treasurer, whose receipt I hold therefore.
Received of
Period
Received of
Period
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
6/10/2017
TOWN COLLECTOR
6/10/2017
CHARGE
44122
43716
CHARGE
44122
43716
Date
Check
760
28.52
Total Checks
Total Cash
Total
Date
Date
Check
760
28.52
Total Checks
Total Cash
Total
Date
Signature of Department Head
Town Collector
6/7/2017
6/7/2017
the sum of
Dollars
for
6/7/2017
6/7/2017
the sum of
Dollars
which
Cash
Cash
Total
760
28.52
788.52
788.52
Total
760
28.52
788.52
788.52