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Auditor's Report - City of Pickering

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i BoxD Statement<strong>of</strong> Assetsand liabilities as at June 301<br />

2011<br />

Assets<br />

Cash 3122<br />

14 Accounts<br />

receivable Value<strong>of</strong> inventory retained from Schedule 4339<br />

30 Other provide full<br />

details<br />

1<br />

2<br />

3 Total Assets I7461<br />

44 Liabilities and Excess Deficiency<strong>of</strong> Income over<br />

Expenses Accounts<br />

payable 7461<br />

44 Borrowings<br />

overdraft Other provide full<br />

details<br />

1<br />

2<br />

3 Total Liabilities 7461<br />

44 BoxE Statement<strong>of</strong> Determination<strong>of</strong> Surplusor Deficit and Disposition <strong>of</strong><br />

Surplus PartI Determination<strong>of</strong> Surplusor<br />

Deficit Amount<strong>of</strong> excess deficiency<strong>of</strong> income over expenses from Box C1871 15<br />

E1 Deduct Any deficit carried forward bythe candidate from immediately preceding<br />

electionif the <strong>of</strong>fices are with respect to jurisdiction<br />

the same<br />

E2 Surplusor deficit forthe campaign period E1<br />

E2 Deduct Any refund<strong>of</strong> contributions to the candidateor spouse onlyif there is a surplus 1871<br />

Determination<br />

15 Total<br />

E3 Part II Disposition <strong>of</strong><br />

SurplusIf line E3 showsa surplus the amount must be paid in trust at the time the financial statements are filed to the municipal clerk who<br />

was responsible for the conduct <strong>of</strong> the<br />

election Surplus paid to the municipal clerk <strong>of</strong> the municipality<br />

<strong>of</strong> BoxF<br />

DeclarationI Peter<br />

Rodriguesacandidate inthe municipality<br />

<strong>of</strong> Ft C 1 rt G hereby declare that to the best <strong>of</strong>my knowledge and belief that<br />

these financial statements and attached pporting schedules are true and<br />

correct Declared before clerk or<br />

commissioner in<br />

theon yyyy mm ddQ O L<br />

1 Signature<strong>of</strong> Clerkor Commissioner Signature<strong>of</strong><br />

Candidate<br />

aol<br />

og Date Filed in the ClerksOffice yyyy mm<br />

dd DEBBIEM SHIELDS CITY<br />

CLERK CITYOF<br />

PICKERING EX OFFICIO<br />

COMMISSIONER PURSUANTTO SECTION 1<br />

2 OFTHE COMMISSIONERS<br />

FOR TAKING AFFIDAVITS<br />

ACT 9503P 2010 01 Page 3 <strong>of</strong>

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