The central metal is Cobalt (Co) with an oxidation state of +3. This is indicated by (III) in the name.
The ligands are:
The total charge of the complex ion is the sum of the metal oxidation state and the charges of the ligands: $$Charge = (+3) + 4(0) + 1(0) + 1(-1) = +2$$ Thus, the coordination sphere is $[Co(NH_{3})_{4}(H_{2}O)Cl]^{2+}$.
Since the complex ion has a charge of +2, we need two chloride ions ($Cl^{-}$) outside the coordination sphere to balance the charge. The formula is $[Co(NH_{3})_{4}(H_{2}O)Cl]Cl_{2}$.
Final Answer: [Co(NH_{3})_{4}(H_{2}O)Cl]Cl_{2}
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