Third Quarter - 2009
OFFICE USE ONLY
OFFICE ACCOUNT REPORT
(Section 106.141, F.S.)
(PLEASE TYPE)
Name
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Address
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Name of Ba?k
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Address
Office to Which Elected
City
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State
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Zip Code
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City
State
Zip Code
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This report contains
/1<1___.
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pages of Deposits and
Disbursements, upon which I have written my initials covering the period of
.-
J" u'-V / {j ,)oe 9
through j'f" /Jt/.j6~ ,feY J ,) CJCJe:;
Balance on hand at beginning of reporting period $ s--'I6 ' ) I' ,/
Deposits during reporting period $ -()--
Disbursements during reporting period $ - I!) ---
Balance on hand at end of reporting period $ )46. /'7 ,J
1,'Jil2t2 V 7:1 Y AtJl-
is complete, 'true and correct.
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lected Official
, certify that this report
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OS-DE 48 (Rev. 08/03)