Schedule - FEMA PLANSheet3
Sheet2
Sheet1
City Of Northampton
Schedule of Department Payments to Treasurer
To the Department Officer making the Payment:
Total
A.D. Form 9
No:
Amount
Amount:
Source (Description)
ORG-OBJ
From Whom
Instructions:
2) Enter "Who gave the money to the City" in "From Whom"
Received of:
For the period ending :
For collection as per schedule filed in my office .
Date
1) Enter data in blue shaded cells only / the other fields will auto-fill
____________
___
Prepared by Department by:
Approved by Department by :
Received by Treasurer by :
Department:
Date:
Auditor
Treasurer
Department
3) The Department Approved by section is optional.
4) Three copies are needed: One for Treasurer, One for Department and One for Auditor
5) The Department sends the Auditor copy to the Auditor without the Treasurer signature
6) The Treasurer returns a counter-signed photocopy to Department
Checks-
Cash-
Advice of credit-
Planning & Sustainability
UniPay-
Deposit To:
FEMA PLAN
2149175-454000 MITGN
Mass. Emergency
Management Agency
Aleta DeLisle
21-FEMAPLAN-2
2014-01-14 Trsr
?1?/?13?/?2021
5535.00
$5,535.00
5535.00
?1?/?13?/?2021
5535.00
?1?/?13?/?2021