(2-10)
AP- 4
SUMMARY SHEET OF AGGREGATES
TREASURY USE ONLY
Receipt Number ___________________
Robert M. McCord
Treasurer
Receipt Date ______________________
Amount __________________________
Number Shares ____________________
TOTAL NUMBER
TOTAL AGGREGATE
PROPERTY TYPE DESCRIPTION
OF OWNERS
DOLLAR AMOUNT
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SUBTOTAL NUMBER
0
OF OWNERS
GRAND TOTAL
$0.00
IN AGGREGATE
_____________________________________________________ ___________________________ _______________________
Holder's Name
County
EIN #
______________________
Reporting Year