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<br />- <br />'- <br />o <br />a. <br />Q) <br />a: <br /> <br />Q) <br />u <br />:E <br />o <br /> <br />Q) <br />E <br />ro <br />Z <br /> <br />>. <br />c <br />o <br />Q) <br />!II <br />~ <br />Q) <br />o <br />=6 <br />~ <br />o <br />u. <br /> <br />_. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br /> <br />Name of candidate, committee, or corporation D~ Q..l)s:- <br /> <br />Office sought or ballot question MlttOJL of fLO!ftUIL~ M N <br /> <br />Type of report >(' candidatD report <br />Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />District <br /> <br />Period of time covered by 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 />$500 during the calendar year.) <br /> <br />CASH <br /> <br />$ <br />$ <br />$ <br /> <br />50~ <br /> <br />+ <br /> <br />IN-KIND <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />c:;o~ <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach addi- <br />tional sheets if necessary. <br /> <br />Date Purpose Amount <br /> TOTAL ..so- ..st.. <br /> -vr f..L) <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 $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />Project title or description <br /> <br />Date Purpose Name and Address Expenditure or <br /> of Recipient Condition Amount <br /> TOTAL <br /> <br />I certify that this is a full and true statement. <br /> <br />l6-i/Vi ~/~ I~~ Sb(D~ <br />Signature J Date <br /> <br />~t-\AS$N. MtJ S~3 ( ) <br />( <br /> <br />Address ~5 6.~"t""A Cl~ ~ <br />) <br /> <br />FINRPT Rev. 6/98 <br />