Seal

State of Florida
Department of Financial Services
Division of Treasury
Bureau of Funds Management

Quarterly Report of Agency Clearing and Revolving Funds
Chapter 17.58(4), Florida Statutes

Agency Name:
Address:
Quarter Ending :
   
Clearing Account
Revolving Account
Account
Name 		Bank Name
and Address		 Cash
Balance 		Amount Dep.
into Treasury		 Amount
Authorized 		Cash
Balance
 
 
Totals

Division of Treasury
Bureau of Funds Management
Cash Management Section
200 East Gaines Street
Tallahassee, FL 32399-0344
Fax  (850) 413-2724

 

 
   
 


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