____________
962 (L)= 9976:_________________________ 8151 (S)= 2888:________________________
Check # Dated
Amount For What To
Whom? =
G / F / 0
Cleared On:
01______ _______ ______
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BILLS DUE BY DATES: ___________________
Bill #
Due Ch # Date
$ Paid
Balance Fees Available Cleared
Bankrupt
1st ______ _______ ________
________ ______ _______ ______
Morg 405 1
______ _______ ________ ________
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Morg 3220 1st 1 ______
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Morg 3220 2nd 1 ______ _______
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City 3220 18 ______
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City 345 18 ______
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City 405 18 ______
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School bi weekly __ ______ ________
________ ________ ______ _______ ______
Phone 5857 3
______ ________ ________
________ ______ _______ ______
Phone 7990 10 ______
________ ________ ________ ______
_______ ______
800 #
7 ______ ________ ________
________ ______ _______ ______
Xcell Loveland 11 ______ ________
________ ________ ______ _______ ______
Xcell 3220 15
______ ________ ________
________ ______ _______ ______
Atmos
14 ______ ________
________ ________ ______ _______ ______
School bi weekly ______
________ ________ ________ ______
_______ ______
Insurance Auto 17 ______
________ ________ ________ ______
_______ ______
Van 26513
15 ______ ________ ________
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Jan Insurance 345 ____________ ________
Apr Taxes 405 ____________
________
Apr Taxes 345
____________ ________ Apr Taxes
Mountain ___________ ________
_______________ ______
__________ ______ ________ ______
_______ ______ ___
_______________ ______
__________ ______ ________ ______
_______ ______ ___
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___________
Buy for STOCK _______________
----------------------------------------------------------------------------------------------------------------
Sales:
city
county
state
out of state other licensed dealers
$ taxed at & on
t% ________ t% ________ t% ________ os ________
________
$ of tax collected
=
________ = ________ = ________
My cost OUT of STOCK $ _______________ SOLD FOR $ _______________
= _______________
______________ =
___________________
_____ % Int HS = __________
SUB TOTAL = __________
----------------------------------------------------------------------------------------------------------------
Expenses:
800 #
= -
__________
____________: = - __________
Shipping
= -
__________
____________: = - __________
Sales Tax
= - __________
Web-Site
= - __________
PO Box 58 = -
__________
= - __________
SUB TOTAL = __________
----------------------------------------------------------------------------------------------------------------
Week
of
Bonnie / date / #
Pat / date / #
345 =
____________ ______________
______________ ______________
= ____________
____________ ______________
______________ ______________
= ____________
____________ ______________
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= ____________
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= ____________
____________
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= ____________
=
= ______________ =______________
=______________ = ____________
345
North Jefferson Ave: Expenses:
Rent:
Other:
Xcell:
/ =
- __________ +
/
Property
Taxes: = - __________
City:
/ = -
__________ +
/
Insurance:
= - __________
Phone:
/ =
- __________ +
/
_____________ = - __________
= - __________
+
/
_____________ = - __________
________ : = - __________
+
/
__________
_____________ = - __________
345 Totals:
= - __________ +
__________
=
__________
SUB TOTAL = __________
----------------------------------------------------------------------------------------------------------------
405
East 7th
St: :
Expenses:
Rent:
Date
of
Other:
Xcell:
/ = - __________ +
/ __________
Property Taxes: = - __________
City:
/ = -
__________
+ /
__________
Insurance:
= - __________
______ = -
__________
+
__________
____________: = - __________
405 Totals: = - __________
+
__________
Mortgage 405:Paid on/cleared: _______ / ________ - __________
"O"
_____________________
=
__________
SUB TOTAL = __________
---------------------------------------------------------------------------------------------------------------
Interest from: $ Received:
________ /
__________ =
________ /
__________ =
= __________
TOTAL
= __________
____________
3220
Birney Court
:
Expenses:
Other:
____________:
= __________
Xcell:
/ = - __________ +
= home: = __________
City:
/ = -
__________
+ =
dsl : = __________
Atmos:
/ = - __________
+
= long : = __________
Phone:
/ = -
__________ + = - - - . . .= tv : = __________
3220 Totals: = - __________ +
1st Mortgage 3220: Paid on/cleared: _______ / ________ - __________
2nd Mortgage 3220: Paid on/cleared: _______ / ________ - __________
"O"
_______________
_______________
= __________
SUB TOTAL = __________
---------------------------------------------------------------------------------------------------------------
DEPOSITS:
Date of: in the Amount
of: in
the Amount of: date of deposit
PO Check # _____ _________ _____________
+ CIM _____________ ________
gross __________ hrs ______ n
_______ per hr gr __________ per hr net __________
PO Check # _____ _________ _____________
+ CIM _____________ ________
gross __________ hrs ______ n
_______ per hr gr __________ per hr net __________
PO Check # _____ _________ _____________
+ CIM _____________ ________
gross __________ hrs ______ n
_______ per hr gr __________ per hr net __________
PO Milage ________ __________
Other Deposits:
Date of: From /
For:
in the Amount of:
_________
_______________________
_____________
_________
_______________________
_____________
_________
_______________________
_____________ = + __________
SCHOOL Date
Paid
Balance
________ __________ = __________
- Gas - __________
________ __________ = __________
- Food - __________
________ __________ = __________ =
- School - __________
________ __________ = __________
- Other - __________
________ __________ =
__________
- __________
________ __________ =
__________
- __________
________ __________ =
__________
- __________
________ __________ =
__________ -
Total of - __________
MONTH TOTAL = __________
Eka Heny Date of Amount of
From Eka Heny
Date of Amount of From
_______ __________
___________
_______ __________ ___________
_______ __________
___________
_______ __________ ___________
_______ __________
___________
_______ __________ ___________
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_______ __________
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_______ __________ ___________
_______ __________
___________
Balance = __________ ___________ =
SCHOLARS EMMA ___________
MEDY ___________ JESEKA ___________
BANKS EMMA ___________
MEDY ___________ JESEKA ___________
Thrift Savings ___________
----------------------------------------------------------------------
TAX WORK SHEET:
_______________
SALES PAID STATE
_______________
SALES PAID CITY
_______________
SALES PAID LICENSE
_______________
INTEREST FROM:
_______________
SAVINGS BONDS
_______________
IN FROM HOME
STATE Bus _______________
IN FROM
CIM
_______________
IN FROM HOME STATE Per
_______________
IN FROM SKC
_______________ IN FROM EMMA
1st NAT _______________
PROPERTY:
Taxes
Paid
Interest
Paid
Insurance
Paid
Tax
Value
"O"
PROPERTY Mountain ____________
____________
___________
_______________ _______________
PROPERTY 3320 Bir 1st ____________
____________
___________
_______________ _______________
PROPERTY 3320 Bir 2nd ____________
____________
___________
_______________ _______________
PROPERTY 345 Jeff
____________ ____________
___________
_______________ _______________
PROPERTY 405 E 7th ____________
____________
___________
_______________ _______________
CARS:
PRIUS PAID
_______________
_______________
_______________
XT
PAID
_______________
_______________
_______________
VAN PAID
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
W2 HAVE PO
mine
__________
W2 HAVE Sterling
House __________
Brookdale
W2 HAVE Co
Cdass Dona
__________
JANUARY __________ __________ __________ __________ __________
FEBUARY __________ __________ __________ __________ __________
MARCH __________ __________ __________ __________ __________
1st Qut __________ __________ __________ __________ __________
APRIL __________ __________ __________ __________ __________
MAY __________ __________ __________ __________ __________
JUNE __________ __________ __________ __________ __________
2nd Qut __________ __________ __________ __________ __________
1st Half __________ __________ __________ __________ __________
JULY __________ __________ __________ __________ __________
AUGUST __________ __________ __________ __________ __________
SEPTEMBER __________ __________ __________ __________ __________
3rd Qut __________ __________ __________ __________ __________
3/4 __________ __________ __________ __________ __________
OCTOBER __________ __________ __________ __________ __________
NOVEMBER __________ __________ __________ __________ __________
DECEMBER __________ __________ __________ __________ __________
3rd Qut __________ __________ __________ __________ __________
YEAR __________ __________ __________ __________ __________
BILLS DUE BY DATES: ___________________
Bill #
Due Ch # $
Paid
Date
Balance Fees Available
Cleared
Bankrupt
1st ______ __________ ______
________ ______ _______ ______
Morg 405 1
______ __________ ______
________ ______ _______ ______
Morg 3220 1st 1 ______
__________ ______ ________ ______
_______ ______
Morg 3220 2nd 1 ______
__________ ______ ________ ______
_______ ______
City 3220 18 ______
__________ ______ ________ ______
_______ ______
City 345 18 ______
__________ ______ ________ ______
_______ ______
City 405 18 ______
__________ ______ ________ ______
_______ ______
School bi weekly __ ______ __________
______ ________ ______ _______ ______
Phone 5857 3
______ __________ ______
________ ______ _______ ______
800 #
7 ______ __________ ______
________ ______ _______ ______
Phone 7990 10 ______
__________ ______ ________ ______
_______ ______
Xcell Loveland 11 ______ __________
______ ________ ______ _______ ______
Xcell 3220 15
______ __________ ______
________ ______ _______ ______
Atmos
14 ______ __________
______ ________ ______ _______ ______
School bi weekly ______
__________ ______ ________ ______
_______ ______
Insurance Auto
______ __________ ______
________ ______ _______ ______
Car
______
__________ ______ ________
______ _______ ______
Computer
______ __________ ______
________ ______ _______ ______
_______________ ______
__________ ______ ________ ______
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_______ ______
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__________ ______ ________ ______
_______ ______
_______________ ______
__________ ______ ________ ______
_______ ______
Jan Insurance 345____________ ________
Apr Taxes 405 ____________
________
Apr Taxes 345
____________ ________ Apr Taxes
Mountain ___________ ________
_______________ ______
__________ ______ ________ ______
_______ ______ ___
_______________ ______
__________ ______ ________ ______
_______ ______ ___
BRON v 0292 16 WalMart
1836 17 DIS DirRe 3182 18
Cap One 4293 12
SEARS M 4178
20 HSBC m
9782 20
Mazda
1 CITI
m 0309 1
Dilliards 3657 22 Chase
v 1307 25 Macy's
4970 29 JC Penny 5721
11
DISC 5774 10
MBNA m 6587 12 KOHL'S 3704
4 WAMU 9061 5
Gordon's 7071
1 T
Moble 5
Sears
8711 2
_______________
__________ ______ ________ ______
_______ ______ ___
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_______________
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EMPLOYMENT APPLICATION: Resident Assistant position.
Fulltime mornings or days, weekends okay.
NAME: Last, First, Middle.
RECKLING, Eka, Heny
SS # 653-32-3484
Date of birth 10 Dec 1979
Drivers license # CO 04-328-0569
Current Address:
Mailing Address:
3220 Birney Ct
PO Box 58
Evans CO 80620
Loveland CO 80539-0058
Phone Number:
Home, 970-330-7990 Cel,
970-314-6986
EMPLOYMENT HISTORY:
Sterling House Greeley CO
Supervisor & Contact Ph # Melani Hameon 970-330-9500
Salary 9.27/hr + .50 weekends
Employed from: Sept 07 to present.
McDonalds 29th St Evans CO
Supervisor & Contact Ph # Jessica 970-506-0683
Salary 7.25/hr
Employed from Apr 07 to Nov 08
Taking break to have hand operation
Garden Square Greeley CO
Supervisor & Contact Ph # Susan King 970-346-1185
Salary 9.00/hr
Employed from Aug 07 to Jan 08
Reason for leaving; go to Indonesia to visit sick Grandmother and family.
Del Taco Greeley CO
Supervisor & Contact Ph # Secilia 970-330-3808
Salary 7.15/hr
Employed from Dec 06 to Sept 07
Reason for leaving; got job as Resident Assistant.
REFERENCES:
Jay & Rani Branham; 970-352-5370 or 970-352-5102
Sheila Hoke;
970-978-8463 or 970-988-1294
Hesi & Setyo Nugroho; 970-226-1036
Carmen Guerra;
970-353-7037
Forest & Kelly Swick; 970-330-9880
Dawn Daggett;
970-324-1623