Second Quarter 2009
OFFICE USE ONLY
OFFICE ACCOUNT REPORT
(Section 106.141, F.S.)
(PLEASE TYPE)
Name
Office to Which Elected
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Zip Code
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State
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Address
t; 6-'6 0Cv. ~~ I~
Name of Bank
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Address
City
~
City
State
Zip Code
, O'C 11/ ('v 6d-f[S. /J(/~
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This report contains
pages of Deposits and
Disbursements, upon which I have written my initials covering the period of
J /1/;2, L- ,'2001
'7C --I / C ,1/,',< C/.
,j, ~ u .1,. c- 01 '--' ~ L-
through
Balance on hand at beginning of reporting period
$
$
$
$
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~.
/cJ(}. c~-o
Deposits during reporting period
Disbursements during reporting period
Balance on hand at end of reporting period
s-it:J,17
I, 7cu t1.v2( hrJ.dolt
is complete, true and correct.
, certify that this report
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OS-DE 48 (Rev. 08/03)
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OFFICE ACCOUNT
DISBURSEMENT OR DEPOSIT INFORMATION
(PLEASE TYPE)
AMOUNT
DATE NAME AND ADDRESS PURPOSE
Disbursement Deposit
..
II (l;?' W/lrrp~ r"',A... j7(;:()f~ (J h -'1;1/ r.-1' b .LL II/of, ~
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ELECTED OFFICIAL'S INITIALS ~TAl TOTAL
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OS-DE 48A (Rev. 08/03)