A.D. Form 10

 

MILFORD MASSACHUSSETS

 

 

 

 

 

 

 

 

 

SCHEDULE OF DEPARTMENTAL PAYMENTS TO TREASURER

 

 

 

 

 

 

 

No.:

     

Dept.:

     

Date:

     

 

 

FROM WHOM

SOURCE

AMOUNT

TOTALS

 

     

     

     

$0.00

     

     

     

 

     

 

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

 

TOTALS:

 

$0.00

 

 

 

 

 

 

RECEIPT

 

 

 

 

 

 

No.:

0

 

Date:

 

 

 

 

 

 

 

To the Accounting Officer:

 

 

 

 

 

The above is a detailed list of moneys collected by me, amounting in the aggregate to

 

 

 

 

 

 

0

For the

 

ending

 

.

 

 

 

 

 

 

I certify the above has been received of the Treasurer and I hold the receipt thereof:

 

 

 

 

Rev 1.2 DFT

Title

 

A.D. Form 9

 

MILFORD MASSACHUSSETS

 

 

 

 

 

 

 

 

 

SCHEDULE OF DEPARTMENTAL PAYMENTS TO TREASURER

 

 

 

 

 

 

 

No.:

     

Dept.:

     

Date:

     

 

 

FROM WHOM

SOURCE

AMOUNT

TOTALS

 

     

     

     

$0.00

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

     

     

     

 

 

TOTALS:

 

$0.00

 

 

 

 

 

 

RECEIPT

 

 

 

 

 

 

No.:

     

 

Date:

     

 

 

 

 

 

 

I, Barbara A. Auger, Treasurer, accept the sum of

$0.00

 

 

 

 

From

     

,  for collections per

 

 

 

 

 

 

 

schedule on this date, filed in my office.

 

 

DFT 1.2

Barbara A. Auger, Treasurer