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<br />~ <br /> <br />- <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of",o J"formMJon '''. '1. rroft"lrll. public lnfotmatlonJ <br /> <br />Name of candidate. comml1tee. or corporation Jlg_':zS':e-\LL C~S::,-_S-::?;,;~.f__(;:Q_IJ~..t__L. e~J........ "t.. <br />:/~ <br />Office 60ught or ballot question ___::J L___. ~.1\..._--,-:;::::tl Q.f~ .{.!'~'-' .. _ District____ -----_.,____ <br /> <br />Type of report <br /> <br />___ _______. _ Candidate report <br />_____.. ,.______ C<;\mpaign ('"",mitt"" report <br />.. .__~...____ Association or corporation report <br />__._____ ___ Final report <br /> <br />Period of time covered by report: <br /> <br />from.. J?~:!~;r___L!Lts/ 0 y <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />1:: <br />u <br />C. <br /><I.l <br />0:: <br /> <br />OiWD the loml for 011 oontrlbution" roco;"..rt tfllrino thA period of lime covered by thiS report. Contributions should <br />be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back 01 this IOrm. <br />Use a separate sheet to Itemize an contributions from a single source that are equal to or greater than 5500 during <br />l~ calendar year.) <br /> <br />CASH <br /> <br />$ jO:$ \ <br />--- ,...---.--.... '..'. -..':--- <br /> <br />$,,___.h_.~~_~. <br />L .~ <br />$ _L.'O._L,..:._ <br /> <br />+ <br /> <br />IN-KINO <br /> <br />= <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />EXPENDtTURES <br /> <br />~ <br />5 <br /> <br />Include every OlSoursemerll IIldUt:l rUl co politicol purpooo during poriod of lirn.. rnvAmrl hv ffloor!. Attach additional <br />sheets if necessary. <br /> <br /> <br />Amount <br /> <br />Date <br />,,":> v} <br /> <br />/"::1>/ ~ I <br /> <br /> <br />JIf- .j-u:- . .J.!,....' -'., "'..l"~ <br /> <br /> <br />t/,,) <br /> <br />~; 0.1 ":. <br />ij..;.(.( <br /> <br />, 1-<..)u <br /> <br />TOTAL <br /> <br />CORPOHAI t:'. f'ftOJeCT eX"I!NDlTURCa <br /> <br />Corporallons must list any media project or corporate message project for which contribution(s) or expenditure(s) <br />lotal more than $200. Submit a separate report for each project. Attach additional sheets If necessary. <br /> <br />Project title or description _. c_____c ,,______'-. . <br /> <br />~ <br />m <br />Z <br /> <br />Date Purpose NamfJ and Address Expenditure or <br /> of Recipient Contribvlion Amount <br /> TOTAl <br /> <br />.l:- <br />c: <br />o <br />: <br />::J <br />5 <br />E <br />o <br />... <br />o <br />u. <br /> <br /> <br />I certify that thiS is a full and true statement.___..___ _ -JJ_~_~__.....lllcr!~ V <br />. . Sigf)l\It , ~./ . . Date <br />Address ..___"l::i'-t-. LJ:,:::..... _iJ:...LLuLJ_!,_'. ___i;'':..J__!'L~.../_ct.)~_::''-.LL..r..-.... -------.----- <br /> <br />01 FINRPT <br /> <br />Rev. 1210 1 <br /> <br />lIP' <br />