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<br />CAMPAIGN FINANCIAL REPORT <br />(AU DI II>>/nfornullt1n In th/$1'fIPOt'I. puIJIIt: 1nTDtmIIlton) <br />Name of candidate, commiltee. or corporation Ffo5e<J / t t:. ~,j ~ -t ~ ~_ <br />Office sought or baBot question ~- U c:uc..tr~ Oistrict <br /> <br />Type of report <br /> <br />x <br /> <br />Candidate report Period of time covered by report: <br />Campaign committee report <br />Association or corporation report I <br />Final report from I-I. ~IO /o/V/r.....-' <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />- <br />L- <br />a <br />D- <br />ID <br />II: <br /> <br />Give the total for at contributions received during the period of time covered by this report. Contributions should <br />be listed by type (money or in-kind) rather than contt'ibutor. (See note on contribution 1mb on the back of this <br />form. Use a separate sheet to itemize all contributions from a single source that are equal to or greater than <br />$500 during the calendar year.) <br /> <br />CASH <br /> <br />$ <br /> <br />s//$"O' <br />...f; d \3 <br />11'\- 0 <br /> <br />IN.KINO O.a r <br /> <br />+ <br /> <br />= <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />$ <br /> <br />EXPENDITURES <br /> <br />ID <br />U <br />:E <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach addi- <br />Ilonal st1eels If necessary_ <br /> <br />Date <br /> <br />Purpose <br /> <br />Amount <br /> <br /> <br />TOTAL <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribuIion(s) or expendiure(s) <br />total more than $200. SLilmit a separate report for each project. Attach additional sheets if necessary. <br /> <br />ProjectliUIt ur \.IelOCl"iplion <br /> <br />ID <br />E <br />IV <br />Z <br /> <br />Dale Purpose Name and Attiess Expenditure or <br /> of Recipient Condition Amount <br /> TOTAL <br /> .--- <br /> <br />>- <br />c <br />o <br />ID <br />,. <br />::I <br />~ <br />, <br /> <br />'" <br />... <br />If <br /> <br />I certify thai this is a rut and Irue statement <br /> <br />"t1.f~ <br /> <br />Signature <br /> <br />/ o/},.. ~/Q 1.-/ <br />. Date <br /> <br />Address <br /> <br />:J'/"2- <br /> <br />~ l- DI N~ ~'f. <br /> <br />N. <br /> <br />FINRPT Rev. 6198 <br />