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<br />TJ........ <br /> <br />'. . . <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br /> <br />Name of candidate, committee. or corporation .11/1 -r /J <br /> <br />Office sought or ballot question f J '-I-( J f1.n U "n fL./! <br /> <br />Type of report Candidate report <br />-./ Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />~~~ <br /> <br />1'1-1, r;-I ~ ( <br />District /PO 5 e r i )1 e, <br />Period of time covered by report: <br /> <br />from <br /> <br /> <br />to <br /> <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />l N <br />.) <br />, <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 are equal to or greater than $500 during the calendar year.) <br />CASH $ I.}. 'J I tJ. DO 1- ~lttY 0 -f .;: l) Cl ~ ~~cL, 'I! /91 Y-' <br />IN-KIND + S /75olJ ~~~ '7~.y-/9'7~~ <br /> <br />sJjfRs.t:>P <br /> <br />= <br /> <br />TOTAL AMOUNT RECEIVED <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 />Purpose <br /> <br />Amount <br /> <br /> <br />ILu- ~ <br /> <br />TOTAL <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contrlbution(s) or expenditure( s) total more <br />than S2oo. Submit a separate report for each project. Attach additional sheets If necessary. <br /> <br />Project title or description <br /> <br />Date <br /> <br />PutpoN <br /> <br />Name and Address <br />of Recipient <br /> <br />Expenditure or <br />Contribution <br />Amount <br /> <br />I <br /> <br />) <br /> <br />TOTA <br /> <br />I certify that this Is a full and true statement (} .L.i. ......./ .n!J ~ ~ ~ / () /..1.. j! r 7 <br />-r Signature Date I <br />Address: ~ ~~.fh ~~ l~-:~-J/.3 <br />lUFlNRPT Rev. 9196 -f- ~ -i- -7 P)L <..... <br />