HomeMy WebLinkAbout2016 - Second Quarterly – May - Office Account Reports – DS-DE 48 & DS-DE 48A - Michelle J GomezOFFICE USE ONLY
OFFICE ACCOUNT REPORT
(Section 106.141, F.S.)
(PLEASE TYPE)
Name
Which Elected"Michelle
qO:ffi,c:eto
J. Gomerssioner,
City of Tarr�a acAddress
State
Zip Code
4910 Woodlands Boulevard
Tamarac
FL
33319
Name of Bank
TD Bank
Address
City
State
Zip Code
7001 West Commercial Boulevard
Tamarac
FL
33319
This report contains 1
pages of Deposits and
Disbursements, upon which I have written my initials covering the period of
February 1, 2016
through April 30, 2016
Balance on hand at beginning of reporting period
Deposits during reporting period
Disbursements during reporting period
Balance on hand at end of reporting period
I Michelle J. Gomez
is complete, true and correct.
$ 3,672.21
$ -0-
$ 150.00
$ 3,522.21
X
Signat r Elected Official
DS-DE 48 (Rev. 08/03)
++1
, certify that this report
OFFICE ACCOUNT
DISBURSEMENT OR DEPOSIT INFORMATION
(PLEASE TYPE)
AMOUNT
DATE
NAME AND ADDRESS
PURPOSE
Disbursement
Deposit
2/9/2016
Florida Initiative for Suicide
2016 Annual HOPE
$150.00
Prevention
Gala
2645 Executive Park Drive
Weston, FL 33331
r-y
7�
a
n%J
MR
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r
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V
ELECTED OFFICIAL'S INITIALS
TOTAL
TOTAL
$150.00
DS-DE 48A (Rev. 08/03)