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I HEREBY CERTIFY that I have compared the entries in this Financial that the regulations with respect to such Statement have been duly I hereby further certify that I have ascertained by audit the correctness during the year ended the 31st day of March, 189 included in such

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Sec note on page 66.

The items included under this heading, if cash receipts, should also be entered under the heading "Other Receipts," in the Maintenance Account (Part I. of this Statement).

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Statement with the Vouchers and other documents relating thereto, and complied with.

of such Statement, and that the expenditure of the visiting committee Statement, and allowed by me at the audit, is

As witness my hand this.

Stamp.

day of

* Amount to be inserted in words at length.

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FORM B.-LUNATIC ASYLUM BELONGING TO THE COUNCILS OF THE

THE ADMINISTRATIVE COUNT OF

Financial

THE DISTRICT AUDITORS ACT, 1879 (42 VICT. C. 6)-THE LOCAL GOVERN

(54 & 55

STATEMENT OF THE RECEIPTS AND EXPENDITURE of the Visiting Committee

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From guardians of unions and parishes within the
contributory counties and boroughs at s. d. per
head per week

From guardians of other unions and parishes at
8. d. per head per week

From the treasurers of counties and boroughs for
patients adjudged chargeable thereto, namely:-
Of the contributory counties and boroughs at
s. d. per head per week -

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Of non-contributory counties and boroughs at
head per week -

S. d. per
From the treasurers of the contributory counties
and boroughs under Section 269 (9) of the
Lunacy Act, 1890, in respect of accommodation
at other asylums, not exceeding one-fourth of
the entire weekly charge

From the treasurers of non-contributory boroughs
and of counties in respect of non-contributory
boroughs for excess of weekly charge above
ordinary rate (30 & 31 Vict. c. 106. s. 23)
From the treasurers of other asylums for patients
received under contract or arrangement at
8. d. per head per week

Other receipts, if any, viz:

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£ s. d.

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This item should agree with the corresponding entry in the farming and gardening account (Part III. of this Statement).

† See note on page 76.

Sche

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MENT ACT, 1888 (51 & 52 Vict. c. 41), and THE LUNACY ACT, 1891
Vict. c. 65).

of the above-mentioned Lunatic Asylum during the year ended the 189 .

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*This item should include all the sums entered as paid in the farming and gardening account (Part III. of this Statement).

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Less transfers from the maintenance account to the building and repairs fund account

TOTAL RECEIPTS

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