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<br />~ <br />. \) <br /> <br />- <br />o <br />0- <br />0> <br />a: <br /> <br />0> <br />U <br />:E <br />o <br /> <br />0> <br />E <br />m <br />Z <br /> <br />.2- <br />c: <br />o <br />(I) <br />en <br />:::J <br />(I) <br />(J <br />:e <br />o <br />... <br />o <br />Ll. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br />.,- <br />Name of candidate, committee, or corporation .- / 0 h? <br /> <br />Office sought or ballot question C 0 V AI C j~ Lm A M/ <br /> <br />I-I" 1< 0 V G 1-1 <br /> <br />District <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 tic -r 2. &" to lJ ~c- "/ <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />,:i1ll4f Re,l2eJf(-!:- <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 />$500 during the calendar year.) <br /> <br />CASH <br /> <br />$ - 0....,.,... <br />---- <br /> <br />- 6- <br /> <br />+ <br /> <br />IN-KIND <br /> <br />$ <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />$ <br /> <br />-6- <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 <br /> <br />Amount <br /> <br />Purpose <br /> <br /> <br /> <br />TOTAL <br /> <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 <br /> <br />Name and Address <br />of Recipient <br /> <br />Expenditure or <br />Condition Amount <br /> <br />Purpose <br /> <br /> <br />I certify that this is a full and true statement. <br /> <br />cr;;;:, /) ~ L. <br /> <br />Signature ~ <br /> <br />sm.e-l- <br /> <br />/..1 h ~S""-- <br /> <br />/Date <br /> <br />Address <br /> <br />~ 9 :3/ <br /> <br />4. 5~{/ /?y <br />, / <br /> <br />FINRPT Rev. 6/9S <br />