Annual Financial Report (Multi-Purpose Long Form) - Illinois Comptroller - 2005 Page 4
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15UNIT NAME:
Unit Code Number:
STEP 7: AUDITS
Provide CPA’s information if the government is required to submit an audit to the Office of the Comptroller.
Firm Name:
CPA’s first name:
CPA’s last name:
CPA’s title:
Address:
City:
State:
Zip:
Phone:
(__ __ __) __ __ __ - __ __ __ __
Fax:
Email:
State Registration Number:
__ __ __ - __ __ __ __ __ __ __
STEP 8: OTHER GOVERNMENTS
Indicate any payments the government has made to other governments for services or programs (include programs
performed on a reimbursement, cost-sharing basis or federal payroll taxes).
Intergovernmental agreements
$
Federal government payroll taxes
$
All other intergovernmental payments
$
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Office of the Comptroller, Daniel W. Hynes
FY 2005 AFR
Multi-Purpose Long Form
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