Sample 2

(Suggested Format)

Name of Neighborhood Council

Address

Statement of Receipts, Disbursements and Fund Balances

For the Quarter Ending ______________ , 2001

Name of Fund 1

Name of Fund 2

Name of Fund 3

Beginning Balances

xxxx.xx

Add Receipts:

xxx.xx

Total Available for the Quarter

xxxxx.xx

Less Disbursements:

Meetings

xx.xx

Supplies

xx.xx

Telephone

xx.xx

Printing

xx.xx

Miscellaneous

xx.xx

Expenses

xx.xx

Expenses

xx.xx

Expenses

xx.xx

Assets Purchased:

Computers

xxxx.xx

Furniture

xxxx.xx

Phone Sets

xxxx.xx

Total Disbursements

xxxxxxx.xx

Balances of Funds

xxx.xx

Prepared by:

Date:

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