## 




|||U n restricted|Restricted|E nd owmen I|
|---|---|---|---|---|
|(`[L-,;``:.,,t`J.\,:,`;.==S,||funds|fu nds|funds|
|||to nearest f|to nearest f|to nearest £|
|81 Cash funds|EIANK BALANCE||||
||Total cash funds||FEE||
||(agree balances with rece.lpts and payments||||
||account(s))||||
|||U n restricted|Restr icted|E n d own e nt|
|||funds|fu nds|fu nds|
||Details|to nearest a|to nearest f|to nearest £|
|82 Other monetary assets|||||
|||||Current value|
||De!ai!s||Cost (optional)||
|83 Investment assets|||||
|84 Assets retained for the<br>charify's own use|De,!ai!s|=<br>Fund to which<br>111111|Cost (optional)<br>111111|Current value<br>11111|
|||Fund to which|Amount due|When due|
||Details||||
|85 Liabilities|||||
|Signed by one or two trustees on<br>behalf of all the trustees|Signature|Print|Name||
|||ELAiNE|itc>LjL4e-s||
|||&RfdyLJzis±is/|||