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| Statement of Cash Flows |
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| [Name] |
[Time Period] |
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| Cash flows from operating activities |
| Cash received from customers |
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| Cash paid for merchandise |
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| Cash paid for wages and other operating expenses |
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| Cash paid for interest |
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| Cash paid for taxes |
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| Other |
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| Net cash provided (used) by operating activities |
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| Cash flows from investing activities |
| Cash received from sale of capital assets (plant and equipment, etc.) |
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| Cash received from disposition of business segments |
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| Cash received from collection of notes receivable |
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| Cash paid for purchase of capital assets |
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| Cash paid to acquire businesses |
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| Other |
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| Net cash provided (used) by investing activities |
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| Cash flows from financing activities |
| Cash received from issuing stock |
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| Cash received from long-term borrowings |
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| Cash paid to repurchase stock |
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| Cash paid to retire long-term debt |
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| Cash paid for dividends |
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| Other |
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| Net cash provided (used) in financing activities |
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| Increase (decrease) in cash during the period |
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| Cash balance at the beginning of the period |
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| Cash balance at the end of the period |
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