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'~ # CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate, committee, or corporation --~--~----~----------------,-- OIIioe ,ought or ballo' que,'on JY!f:::iJ1iL~IJ.f:t 4;''''0' -~--- Type of report _____:f-.. ____ Candidate report Period of time covered by report: ____________ Campaign committee report __________ Association or corporation report J,..d' I ____~___ Final report fromJ~D~ to ~~!J-~ CONTRIBUTIONS RECEIVED .- '- o 0- Q) a::: Give the total for all contributions received during the peripd of time covered by this report. Contributions should be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. Use a separate sheet to itemize all contributions from a single source that are equal to or greater than $500 during the calendar year.) CASH $ -----r#----- /'I) $ ----~----- $ -----~------- + IN-KIND = TOTAL AMOUNT RECEIVED EXPENDITURES Q) u It: o Include every disbursement made for a political purpose during period of time covered by report. Attach additional sheets if necessary. Date Purpose Amount TOTAL (/j CORPORATE PROJECT EXPENDITURES Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total more than $200. Submit a separate report for each project. Attach additional sheets if necessary. Project title or description ______________________________________________________--- Q) E C\l z Date Purpose Name and Address Expenditure or of Recipient Contribution Amount TOTAL >- c o Q) en ::s Q) u It: o ... o u.. I certify that this is a full and true statement. ___b\;~~------l.::J 3_-64-- __ . ,.,.... Signature Date Address __~~__~~L~-~~~"1~1-----~~~7-~-~3.1:]-------- 01FINRPT Rev. 12/01