Transcription of BALANCE SHEET - CDSS Public Site
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BALANCE SHEET - CDSS Public Site
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. COMMUNITY CARE LICENSING. IMPORTANT. BALANCE SHEET - Before completing, see reverse for instructions. As of_____ - Attach LIC 403a. (ENTER CURRENT DATE). ENTITY NAME: FACILITY NAME: NO. ASSETS. CURRENT ASSETS. 1. Cash on hand .. $_____. 2. Cash in Financial Institutions .. _____. 3. CD's & Other Like Accounts .. _____. 4. Short-Term Receivables & Notes .. _____. 5. Stocks & Bonds .. _____. 6. Other Current Assets.
BALANCE SHEET GENERAL INFORMATION:To complete the Balance Sheet LIC 403, first complete the LIC 403a, Balance Sheet Supplemental Schedule. The LIC 403a is a worksheet to be used in compiling the detailed information which is then totaled and displayed on the Balance
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