Form Ao 41a - Ledger

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LEDGER
AO 41A
(Rev. 10/89)
OFFICE OR CASE IDENTIFICATION
G
G
G
Fund:
6855 _ _
604700
Other (Specify)
Local Depository:
Date
Received
Disbursed
Balance
Description
(m/d/yyyy)
(Debit)
(Credit)
(DR - CR)

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