Laserfiche WebLink
<br />::~;:~;::t::~=~::~:::::~::c jnt;;~__.~_,..;.1 Drn:~::~ n <br /> <br /> <br />Office soughl 0' ballol question ~ / ~__ -'-:'~Mlicl . _ __ m~ u) <br /> <br />Type of report Candidate report Period of time covered by repor. <br />V Campaign committee report <br />Association or corporation report J~ h I J . j <br />Final report from~_~l_Y?i}.o _If---~-1ff Ot) <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />..... <br />.... <br />o <br />a. <br />Q) <br />a: <br /> <br />Give the total for all contributions received during the period of time covered by this report. Contributions shoulo <br />be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back ot this <br />form. Use a separate sheet to itemize all contributions from a single sQurce that are equal to or greater tha'1 <br />$500 during the calendar year.) . <br /> <br />CASH <br /> <br />s <br /> <br />-- <br /> <br />... <br /> <br />IN-KIND <br /> <br />s <br /> <br />TOTAL AMOUNT RECEIVED S <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report Attacn adC!- <br />tional sheets jf necessary. <br /> <br />Q) <br />u <br />:;:: <br />o <br /> <br />Date <br /> <br />Purpose <br /> <br />Amount <br /> <br /> <br /> <br />.1.00 <br /> <br />TOTAL <br /> <br />/ <br /> <br />Y. .If.r <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure( s i <br />total more than $200. Submit a separate report for each project. Attach additional sheets if necessary <br /> <br />Project title or description <br /> <br />Q) <br />E <br />ell <br />Z <br /> <br />Date Purpose Name and Address Expenditure or <br /> of Recipient Condition Amount <br /> TOTAL <br /> <br />~ <br />c: <br />o <br />Cl) <br />III <br />~ <br />Cl) <br />CJ <br />:;::: <br />- <br />o <br />~ <br />o <br />u. <br /> <br />Address <br /> <br />~Ob <br /> <br />(' <br />~.~ ff: VI'--'Mur.-Yl '~-1 g iD 0 <br />Signature I Date I <br />'-rAI~~U~.:t-C../~ ~~__~d.../I~ <br /> <br />6...S7 -- if 9''1 - '7?'f L. <br /> <br /> <br />I certify that this is a fu!1 and true statement. <br /> <br />FiNRPT Rev. 6/98 <br />