Form 9-10 Elm StreetA.D. FORM 9
Dept.Date
CHARGE Cash Total
0.00
0.00
Date
To the Departmental Officer making the Payment:
the sum of
Dollars
for
collections as per schedule of this date, filed in my office.
Total Cash
TOWN COLLECTOR
Check
Total Checks
Total
TOWN OF DARTMOUTH
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
Zoning Board of Appeals
Source ORG-OBJ #From Whom
A.D. FORM 10
Dept.Date
CHARGE Cash Total
44122 360.00
43716 25.44
385.44
385.44
Date
To the Departmental Officer making the Payment:
the sum of
Dollars
for the ending for
I have paid to the Town Treasurer, whose receipt I hold therefore.to the Town Collector whose receipts I hold therefore.
December 20, 2021
Received of Zoning Board of Appeals
Source ORG-OBJ #
Vanda Blinn Petitions 01000-44122
Zoning Board of Appeals
01000-43716
TOWN OF DARTMOUTH
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
December 20, 2021
From Whom
RE: 155 Elm Street
Check
360
25.44Postage
CK 2335
Town Collector
Signature of Department Head
Total
Total Checks
Total Cash
Three Hundred Eighty-Five 44/00
Period December 4, 2021