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OFFICE OF THE STATE COMPTROLLER

Activity/Welfare Funds Information

Instructions Date
Please complete items 1-9. Thank you.
Agency Number Agency Name
1. 2.
Person responsible for the Activity and Welfare Funds.
3.
Title Telephone Number
4. 5.
6. Address
E-mail Address
7.

Record-keeping system currently in place:
8. Software:
9. Total dollars in each fund:
Activity
Welfare
Total

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