Laserfiche WebLink
<br />( <br /> <br />~ <br /> <br />- <br />.... <br />o <br />0- <br />Q) <br />a: <br /> <br />Q) <br /><..> <br />:E <br />o <br /> <br />Q) <br />E <br />Cl3 <br />z <br /> <br /> <br />~ <br />C <br />o <br />Q) <br />Ul <br />~ <br />Q) <br />(,) <br />:e <br />o <br />~ <br />o <br />LL <br /> <br />,:IE. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information In this report Is public Information) <br /> <br />Name of candidate, committee, or corporation J)AJ\1 QOE <br /> <br />Office sought or ballot question f'^A-'-{rrfL (J ~lU:E- Mt\ District <br /> <br />Type of report <br /> <br />Xi <br /> <br />Period of time covered by report: <br /> <br />Candidate report <br />Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />from~to~ <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />Give the total for all contributions received during the period of time 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 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 />c15 <br />105. ~ <br />103. ~ <br /> <br />+ <br /> <br />IN-KIND $ <br />TOTAL AMOUNT RECEIVED $ <br /> <br />EXPENDITURES <br /> <br /> <br />Include every disbursement made for a <br />tional sheets if necessary. <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) <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 />Date Purpose Name and Address Expenditure or <br /> of Recipient Condition Amount <br /> TOTAL <br /> <br />I certify that this is a full and true statement. <br /> <br />~M'~YT <br />ignature <br />(1 A-t~~9SN) MAJ <br /> <br />_SS'5/ ( <br /> <br />10-/7 ~3 <br />Date <br /> <br />Address '?J)" S\--lA-BTk CIR. & I <br />FINRPT Rev. 6/98 <br />