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<br />CAMPAIGN FINANCIAL REPORT <br />(All of the Infonnatlon In tilt' ~,. public '~J <br /> <br />Name of candidate, committee. or corporation ~lAt\,~ 4fJr- ~y ~S <br /> <br />Office sought or ballot question ~ d-t e nu.1l~ l ~Ofl!\{ t Ue. District ~f <br /> <br />Type of report Candidate report Period of time covered by report: <br />~ Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />from ~I/O~o <br />f <br /> <br />a;h F' /04 <br /> <br />1:: <br />8. <br />Q) <br />a:: <br /> <br />~ IutltAL ~1"1Cf CONTRIBlmONS RECEIVED <br /> <br />Give the total for all contributions received during the period of time covered by this report. Contributions should be <br />listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. Use a <br />separate sheet to itemize all contributions from a single source that are equal to or greater than $500 during the <br />calendar year.) <br /> <br />CASH $ f 1Jt) ~ <br /> + <br />IN-KIND $ <br /> = 1CfJ !9 <br />TOTAL AMOUNT RECEIVED $ <br /> <br />EXPENDITURES <br /> <br />Q) <br />o <br />5 <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach additional <br />sheets if necessary. <br /> <br /> <br /> <br /> <br />-j <br />1 <br />I <br />I <br />I <br />I <br /> <br />, <br /> <br />TOTAL <br /> <br />tD3tJ.OJ <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Q) Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total <br />~ more than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br />Z <br /> <br />Project title or description <br /> <br />Date <br /> <br />Purpose <br /> <br />Name and Address <br />of Recipient <br /> <br />Expenditure or <br />Contribution <br />Amount <br /> <br />>. <br />"'E <br />o <br />Q) <br />II) <br />::> <br />~ <br />IE <br />o <br /> <br />Total <br /> <br />~ <br />o <br />LL <br /> <br />I certify that this is a full and true statement. ~ Ih ~ <br /> <br />J If q "t1 ~ ~mture <br />Address () L1""- ve. hi} ().'~rtt/I~) J11Al S-SI/3 <br /> <br />d3~~~ <br />. 0 e <br />