Account Report Q3 2017 (-)
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OFFICE USE ONLY --4-<
OFFICE ACCOUNT REPORT - m
(Section 106.141, F.S.) -,-
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(PLEASE TYPE) = oma_
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Name Office to Which Electe
___N. :(/ 4 (1?-4
Address 4(?. ity State Zip ode
A a/ V4.//-6(ltGk p/ 3-V,
Name Bank _________ /
1N, (r/A-(S
Address State Zip Code
c=5/o Pc r /i17 it ,3, -2'
This report contains / pages of Deposits and
Disbursements pon which I have written my i itials covering the period of
,
,_ / ; AN / through6 /6, ,--/-..7
Balance on hand at beginning of reporting period $ ?ix-q
Deposits during reporting period $ 7"'r/
Disbursements during reporting period $ ,7? c
?y'
Balance on hand at end of reporting period $ /' .3
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i ip9
,, ci,/ , certify that this report
is complete, true and correct.
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Signature of El -cted Official
DS-DE 48(Rev. 08/03)
OFFICE ACCOUNT
DISBURSEMENT OR DEPOSIT INFORMATION
(PLEASE TYPE)
AMOUNT
DATE NAME AND ADDRESS PURPOSE
Disbursement Deposit
3D i/ itk/ tiWeL / 7`
)7/1( (Ce v/L D�,�,/61 &talA 7/4
?/(/1 /lleileNiiVa Tee- A
i 7F6,e /--1 /// "/
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0( ,.%-11.. -/c7/-s/ Atifdemtzt
L4 /4 97
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e0-q 5
ELECTED OFFICIAL'S INITIALS TOTAL TOTAL
17,3
DS-DE 48A(Rev.08/03)