Auditor's Report - City of Pickering

Box D Statement of Assets and Liabilities as at 20
As3ets
Cash 802 00
Accounts receivable
Value of inventory retained from Schedule a
Other provide full details
1
2
3
Total Assets Is 802 00
Liabilities and Excess Deficiency of Income over Expenses
Accounts payable
503 00
Borrowings overdraft
Other provide full details
1
2
3
Total Liabilities
503 00
Box E Statement of Determination of Surplus or Deficit and Disposition of Surplus
Part I
Determination of Surplus or Deficit
Amount of excess deficiency of income over expenses from Box C
Deduct Any deficit carried forward by the candidate from immediately preceding election
299 00 E1
309 00 E2
if the offices are with respect to the same jurisdiction
Surplus or deficit for the campaign period E1 E2 10 00
Deduct Any refund of contributions to the candidate or spouse only if there is a surplus
Total Determination
Part II
Disposition of Surplus
If line E3 shows a surplus the amount must be paid in trust at the time the financial statements are filed to the municipal clerk who was
responsible for the conduct of the election
Surplus paid to the municipal clerk of the municipality of
E3
Box F Declaration
fTC
a candidate in the municipality of
hereby declare that to the best of my knowledge and belief that these
financial atements and attached upporting schedules are true and correct
Declared before clerk or commissioner
in the 1 u Lc
l y1 Gy
on yyyy mm dd cZ 0 l 1 03 0
Signature of Clerk or Commissioner
07 a0h 03
Date Filed in the Clerk s Office yyyy mm dd
Signature of Candidate
DEBBIE M SHIELDS CITY CLERK
CITY OF PICKERING
EX OFFICIO COMMISSIONER
PURSUANT TO SECTION 1 t2
OF THE COMMISSIONERS FOR
TAKING AFFIDAVITS ACT
9503P 2010
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