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<br />~ ~ . <br />. )..... ... <br />... <br /> <br />1:: <br />8.- <br />lI) <br />c::: <br /> <br />8 <br />~ <br /> <br />lI) <br />E <br />co <br />z <br /> <br />>. <br />c <br />o <br />CD <br />II) <br />::) <br />CD <br />u <br />IE <br />o <br />.. <br />o <br />u.. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br /> <br />Name of candidate, committee, or corporation Di ck Dornbusch <br /> <br />~J:. <br />~~&" <br /> <br />Office sought or ballot question R OR PV i 1 1 P (; i t Y (;01] n r i 1 <br /> <br />District <br /> <br />Type of report <br /> <br />x <br /> <br />Period of time covered by report: <br /> <br />Candidate report <br />Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />from 070195 <br /> <br />to 083195 <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />Give. the total for all contributions received during the period of time covered by this report. Contributions should be listed <br />by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. Use a separate <br />sheet to itemize all contributions from a single source that exceed $500 during the calendar year.) <br /> <br />CASH <br />IN-KIND <br />TOTAL AMOUNT RECEIVED <br /> <br />$ Z':':Q5~_. 00 <br />$ <br />$ 2.1Q.sO. 00 <br /> <br />$2000.00 Loan from Candidate <br /> <br />+ <br /> <br />= <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach additional sheets <br />if necessary. <br /> <br />Date <br /> <br />Amount <br /> <br />Purpose <br /> <br />071895 <br /> <br />5.00 <br /> <br />fillin fee <br /> <br /> <br /> <br />$72.42 <br /> <br />pictures <br /> <br /> <br /> <br />See Attached List (Continuation <br /> <br />TOTAL <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution( s) or expenditure(s) total more <br />than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />Project title or description <br /> <br />Date <br /> <br />Purpose <br /> <br />Name and Address <br />of Recipient <br /> <br />Expenditure or <br />Contribution <br />Amount <br /> <br />TO'I <br /> <br />I certify that this is a full and true statement~~ <br /> <br /> <br />Date <br /> <br />MtJ <br /> <br /> <br />o <br /> <br /> <br />Address: <br /> <br />H3:;<" \-V t 13&00 KS <br /> <br />Signature <br />Av -:j<!OSEV I Li-E <br /> <br />94FINRPT Rev. 6/94 <br />