Office Account
OFFICE USE ONLY
OFFICE ACCOUNT REPORT
(Section 106.141, F.S.)
(PLEASE TYPE)
Offi~Ei to Which ~Iecteq () h
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City State Zip Code
FL ~sLf3fo
State Zip Code
L 33 ~0
This report contains
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pages of Deposits and
Balance on hand at beginning of reporting period
Deposits during reporting period
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Disbursements during reporting period
Balance on hand at end of reporting period
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Signature of Elected Official
, certify that this repca
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OS-DE 48 (Rev. 08/03)
OFFICE ACCOUNT
DISBURSEMENT OR DEPOSIT INFORMATION
(PLEASE TYPE)
AMOUNT
DATE
NAME AND ADDRESS
PURPOSE
Disbursement Deposit
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ELECTED OFFICIAL'S INITIALS
OTAL
TOTAL
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OS-DE 48A (Rev. 08/03)