Form 9-10 state rdA.D. FORM 9
SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR
From Whom
Richard Manning
263,265,267 State Rd
CK 5525
2022-02
To the Departmental Officer making the Payment:
Seven Hundred Sixty 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
I have paid to the Town Treasurer, whose receipt I hold therefore.
Received of
Period
to the Town Collector whose receipts I hold therefore.
Source
Petitions
Postage
Source
TOWN OF DARTMOUTH
Dept.
Zoning Board of Appeals
TOWN OF DARTMOUTH
Dept.
Zoning Board of Appeals
ORG-OBJ #
01000-44122
01000-43716
ending
Zoning Board of Appeals
ORG-OBJ #
2/5/2022
TOWN COLLECTOR
CHARGE
44122
43716
CHARGE
Date
Check
760
Total Checks
Total Cash
Total
Date
Date
Check
Signature of Department Head
Town Collector
2/4/2022
2/4/2022
the sum of
Dollars
for
Cash
Cash
Total
760
760
760
Total