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<br />Name of candidate. committee. or corporation <br /> <br />CAMPAIGN FI.NANCIAI.REPORT <br />(All oftheinfortnation in this fflP<1rt Is public information' <br />R V\ <br /> <br />~ <br /> <br />District <br /> <br />Candidate report Period of time COvered by repOrt: <br />Campaign committee report <br />Association or corporation report I "2/ L 'I J _ J. <br />Final report fr'oIll 73/0!p tb 2'P~()7 <br /> <br /> <br />PAC <br /> <br />Office sought or ballot question <br /> <br />Type of report <br /> <br />1.:: <br />8- <br />t! <br /> <br />CONTRIBUTIONS. 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 <br />a separate sheet to itemize all contributions from a single source that are equal or greater than $100 during the <br />calendar year. This itemization must include name, address, employer or occupation if self-employed, amount, and <br />date for these contributions. <br /> <br />CASH <br />IN-KIND <br /> <br />$ _ /800 <br /> <br />+ <br /> <br />= <br /> <br />$ - <br /> <br />$~BO{) <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />EXPENDITURES <br /> <br />II) <br />(.) <br />~ <br /> <br />Include every disbursement made fur a political purpose during period of time covered by report. Attach additional <br />sheets if necessary. <br /> <br />Date <br /> <br /> <br />Purpose <br /> <br />Amount <br /> <br />TOTAL <br /> <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Cqrporations must listeny media project or corporate message project for which contribution(s) or expendltl.lre(s) <br />total more than$2QO.. SUbmit a se~rate report for eaeh project. Attach additiqnalsh"ts if necessary. <br /> <br />Project title or description <br /> <br />~ <br /><<l <br />Z <br /> <br />Date <br /> <br /> <br />Purpose <br /> <br />Expenditilre or <br />Contribution AmOunt <br /> <br />;:. <br />c <br />o <br />31 <br />::s <br />CD <br />u <br />~ <br /> <br />.. <br />If <br /> <br />TOTA <br /> <br />I certify that this is a full and true statement. ... ~ . / -.J/-c> 1 <br />Address '10/ AJ. R~6er-l- _Sf.Slltr.a'~l> ~kP(/AI ss/o/Date,. <br /> <br />01FINRPT <br /> <br />Rev. 12101 <br />