✨ Financial Forms Templates
THE NEW ZEALAND GAZETTE. 221
C.
WEEKLY STATEMENT.
[Clause 9 of Regulations.]
, New Zealand.
STATEMENT of all Sums received by the undersigned, as at , from the
to the day of , 186 , both days inclusive.
| HEADS OF RECEIPT. | AMOUNT. |
|---|---|
| £ | s. |
| £ |
I certify that the above statement is correct. (To be signed by the Officer accounting.)
STATEMENT OF BANK RECEIPTS ATTACHED.
| DATE. | AMOUNT ACKNOWLEDGED. | I hereby certify that the at
|---|---|---
| | £ | s. | d. | has furnished Receipts of the Bank of New
| | | | | Zealand at , for the sum of
| | | | | pounds shillings and pence
| | | | | sterling, being the amount of his collections
| | | | | from the to the day of
| | | | | 186 , both days inclusive, as shewn in the
| | | | | foregoing statement.
Sub-Treasury, 186 . Sub-Treasurer.
[To be sent in on the 8th, 15th, 22nd, and last day of each month.]
D.
MONTHLY ACCOUNT.
[Clauses 9 and 14 of Regulations.]
ACCOUNT of all from the received by the undersigned as , New Zealand. at , being
to the day of , 186 , both days inclusive.
| DATE OF RECEIPT. | FROM WHOM, FOR WHAT, AND AUTHORITY UNDER WHICH RECEIVED. | AMOUNT RECEIVED. |
|---|---|---|
| £ |
TOTAL......£ | | |
I, , do solemnly and sincerely declare that the foregoing is a true and
faithful account of all sums received by me as , at , from the
the day of , 186 both days inclusive; and I make this solemn
declaration conscientiously believing the same to be true.
DECLARED before me at Officer accounting.
this day of 186 }
Justice of the Peace.
STATEMENT OF BANK RECEIPTS ATTACHED.
| DATE. | AMOUNT ACKNOWLEDGED. | I hereby certify that the at
|---|---|---
| | £ | s. | has furnished Receipts of the Bank of New
| | | | Zealand at , for the sum of
| | | | pounds shillings and pence
| | | | sterling, being the amount of his collections
| | | | from the to the day of
| | | | 186 both days inclusive, as shewn in the
| | | | foregoing statement.
Sub-Treasury, 186 . Sub-Treasurer.
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NZ Gazette 1866, No 32
✨ LLM interpretation of page content
💰
Continuation of Financial Regulation Forms C (Weekly Statement) and D (Monthly Account)
(continued from previous page)
💰 Finance & Revenue22 May 1866
Financial reporting, Weekly Statement, Monthly Account, Accounting forms, Regulations