Account Report Q4 2017 Cl i Y OF 8,A,Ffiigg YnLY
CITY CLERK'S OFFICE
OFFICE ACCOUNT REPORT 18 JAN -9 Pt4 L : 10
(Section 106.141, F.S.)
(PLEASE TYPE)
Nam Office to Which Elected
f.l /ift? '/A/
7 ` 57—
,/lif
J/14 bi 4—A /
Address City 1 State Zip Code
6 Ai y, 9 7 JrazI (--6. ii, ;
-rz
,m ..
Name of B � `
_�
Cl/v - /
Address City State Zip Code
/, Sidfiligihi 3W
This report contains pages of Deposits and
Disbursements, upon which I have written my initials covering the period of
W 1/ j ` Y through 1,911,t f2I /Z) /0 .
Balance on hand at beginning of reporting period $ 3A 1
Deposits during reporting period $
Disbursements during reporting period $
Balance on hand at end of reporting period $ Q4/(
CeI, h/ rfivi , certify that this report
is complete, true and correct.
#1 / / /
LJ
Si• T-re of El -F ed Official
DS-DE 48(Rev.08/03)
OFFICE ACCOUNT
DISBURSEMENT OR DEPOSIT INFORMATION
(PLEASE TYPE)
AMOUNT
DATE NAME AND ADDRESS PURPOSE
Disbursement Deposit
,36tH iia 141 Al6Idatutit, /6,
/1/3,0 1 1
s Oge 11/4
l511, /44 64 CA10104 Ta' /6
ELECTED OFFICIAL'S INITIALS TOTAL TOTAL
VS/
DS-DE 48A(Rev. 08/03)