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|**CHARITY COMMISSION**<br>**FOR ENGLAND AND WALES**<br>Charity Name<br>f −L . 1 0 0 = 1 1 — )|**CHARITY COMMISSION**<br>**FOR ENGLAND AND WALES**<br>Charity Name<br>f −L . 1 0 0 = 1 1 — )|**CHARITY COMMISSION**<br>**FOR ENGLAND AND WALES**<br>Charity Name<br>f −L . 1 0 0 = 1 1 — )|**CHARITY COMMISSION**<br>**FOR ENGLAND AND WALES**<br>Charity Name<br>f −L . 1 0 0 = 1 1 — )|**CHARITY COMMISSION**<br>**FOR ENGLAND AND WALES**<br>Charity Name<br>f −L . 1 0 0 = 1 1 — )|4A16−1::6e−4−i06S||No <br>0|(if anyl<br> S 8 4 9 S||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
||||**Receipts and payments accounts**||||||||**CC16a**|||||
||||**For the period**<br>**from**||Perkid stIrt date<br>**O l i c i l lc\**|**To**|Peripd end date<br>**3 1 (** T **12−0**|||||||||
|**Section A Receipts **|**and **||**payments**|||||||||||||
||||**Unrestricted**<br>**funds**||**Restricted**<br>**funds**|**Endowment**<br>**funds**||**Total funds**||||**Last year**||||
||||**to the nearest**||**to the nearest £**|**to the nearest £**|**to the nearest £**||||**to the nearest**|||**£**||
|**Al Receipts**||||||||||||||||
|||||||||||||||−||
|−Ps.w.71111MLIPM11111MM<br>Mb...−−""NEMPS!VI<br>_111111M.C1111.−<br>−.1=1||||||||OzzArloc::.||−||1<br>I|0 c z|−||
|||||||||||**−**||||||
|**_Sub total_**_(Gross income for_<br>**_AR)_**|||||||**−3 Zeac−C2. **|||**−,„**|.4.3G.Z3|||||
|**A2 Asset and investment sales,**||||||||||||||||
|**(see table).**||||||||||||||||
|**_Sub total_**||||||||||||||||
|**_Total receipts_**|||||||**3 5 c k 9 2−**|||**I**|'a−36,33|||||
||||,|||||||||||||
|**A3 Payments**||||||||||||||||
||||||||||||||a r a|−||
|||||||||||**−**|||ck 0|−||
||||||||=|||||||−||
|**A4 Asset and investment**||||||||||||||||
|**purchases, (see table)**|||||||||=|==.||||||
||||**0**|||||||||||||
|**_Sub total_**||||||||||||||||
|**_Total payments_**|||S G S|−|||3 3 5 G S|||−||||||
|**_Net o f receipts/(payments)_**|||Zoc2−77|**−**||||||−|Z|9|||−|
|**A5 Transfers between funds**||||||||cf)||||||||
|**A6 Cash funds last year end**|||Zs:3 s|−||||||||||||
|**_Cash funds this year_**|**_end_**||<Dcz.ci|−||||2−3c5tNci−|||**2...n3**||||**−**|





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||||**Unrestricted**|**Restricted**|**Restricted**||**Endowment**|
|---|---|---|---|---|---|---|---|
|Categories|Details||**funds**||**funds**||**funds**|
||||**to nearest £**|**to **|**nearest £**||**to nearest £**|
|**B1 Cash funds**|||**_et, c)_**|||||
||_CuLv._Ve4−||12:66<br>−|||||
||Tc|4(||||||
|||**_Total cash funds_**|3 0 c 9 −|||||
||(agree balances with receipts and payments<br>account(s))||||_<br>.|J <br>—1|I_|
||||**Unrestricted**|**Restricted**|||**Endowment**|
||||**funds**||**funds**||**funds**|
||Details||**to nearest £**|**to **|**nearest £**||**to nearest £**|
|**B2 Other monetary assets**||||||||
||Details||**Fund to which**<br>**asset belongs**|**Cost (optional)**|||**Current value**<br>**(optional**|
|**B3 Investment assets**||||||||
||Details||**Fund to which**<br>**asset belongs**|**Cost (optional)**|||**Current value**<br>**(optional)**|
|**B4 Assets retained for the**||||||||
|**charity's own use**||||||||
||||**Fund to which**|**Amount due**|||**When due**|
||Details||**liability relates**|**(optional)**|||**(optional)**|
|**B5 Liabilities**||||||||
|Signed by one or two trustees on<br>behalf o f all the trustees||Signature|Print|Name|||Date of<br>approval|





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