AO 41A (Rev. 10/89)
LEDGER
OFFICE OR CASE IDENTIFICATION
Fund:
G
6855 _ _
G
604700
G
Other (Specify)
Local Depository: Received (Debit) Disbursed (Credit) Balance (DR - CR)
Date (m/d/yyyy)
Description
AO 41A (Rev. 10/89)
LEDGER
Carry balance forward from the previous page? $ Yes No
OFFICE OR CASE IDENTIFICATION
Fund:
G
6855 _ _
G
604700
G
Other (Specify)
Local Depository: Received (Debit) Disbursed (Credit) Balance (DR - CR)
Date (m/d/yyyy)
Description
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