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<br />~ <br />o <br />Q. <br />G) <br />ex: <br /> <br />8 <br />IE <br />o <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information In this report is publk information) <br /> <br />Name of candidate, committee, or cx:,rporation ~ VY".,1'Y1. \.1 ~U ~ +. ' <br /> <br />Office sought or ballot question C A 1- \ t C {) I A A/\ c... \ District --=rz()<;eN I Il-e- <br /> <br />Type of report ~ Candidate report Period of time covered by report <br />X Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />from~to~~ <br /> <br />CONTRIBUTIONSRECEWED <br />Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by <br />type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. Use a separate <br />sheet to itemize all contributions from a single source that are equal to or greater than $500 during the calendar year.) <br /> <br />CASH <br />IN-KIND <br />TOTALAMOUNTRECENCD <br /> <br />$.-tjtQ 0 <br /> <br />+ <br /> <br />- <br /> <br />$ <br />$ l~uO <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach additional sheets if <br />necessa . <br /> <br />Date <br /> <br />Pu <br /> <br />Amount <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) total more <br />than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />G) <br />~ Project title or description <br />z <br /> <br />.;;:. <br />c: <br />o <br />G) <br />UJ <br />::> <br />8 <br />5 <br />~ <br /> <br />Name and Address <br />of Recipient <br /> <br />E;xpenditure or <br />.. Contribution <br />Amount <br /> <br />Date <br /> <br />Purpose <br /> <br />Total <br /> <br />I certify that this is a full and true stat <br /> <br /> <br />g 15'/05 <br />~~tu~ IY~ <br />7)' I/f/b?---i/lq/O) <br /> <br />Address <br /> <br /><t/6 f1,'}l wood. Ave 7?0 )/2-VJ' lIe <br /> <br />Office of the Secretary of State <br /> <br />41 <br /> <br />Last Updated: May 2004 <br />