


|~|e||||r|~|~|~|~<br>~|~<br>~ ~|||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
||||||||||Unrestricted|Restricted||Endowment|
||Categories||||||||funds|funds||funds|
||||||||||to nearest 6|to nearest 6||to nearest 6|
|81 Cash|funds||||||||16,171||||
|||||||Total||cash funds|16,171||||
|||||(agree|balances vntb||receipts and payments||||||
|||||||||account(s))|||||
||||||||||Unrestricted|Restricted||Endowment|
||||||||||funds|funds||funds|
||||||||||to nearest 6|to nearest f||to nearest 6|
|82 Other|monetary assets||||||||||||
|||||Details|||||Fund to which<br>asset belon s|I+|li|Current<br>value<br>o<br>ional|
|83Investment||assets|||||||||||
|||||Deta)ls|||||Fund to which<br>asset belon s|Cost (optional)||Current value<br>o<br>onal|
|B4Assets retained for|||the||||||||||
|charity's|own|use|||||||||||
||||||||||Fund to which|Amount due||When due|
||||||||||liablll<br>relates|o<br>onal||o<br>onal|
|85 Liabilities|||||||||||||
|Signed by one or two trustees<br>behalf of all the trustees|||on|||Signature|||Print|Name||Date of<br>a<br>oval|
||||||||||C - Par|t.&r||04 Oj|



