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CAMPAIGN FINANCIAL REPORT <br />(All of t he Informati in this m port is u6Ilc information) <br />Name of andl.d te, curnmifteo, or corporation <br />O ffice sought or ba:ilot question l <br />D)strint <br />Type of report A Candidate. report Period of <br />time c overod by report; <br />C ampaign mrinmittee report <br />Asso lotion or corporation report <br />Final re port from b to 1 <br />5.F 7 <br />0 <br />0 <br />E <br />Z <br />6n <br />LL <br />CONTRIBuTIONS <br />fete th.e tGfal tvr C1 I I wntr ibutions re elve d during the period of time cQve red by this report, Contrib utl ons sho uId. be listed <br />by type (M0hey or ire -kin rather than cont $ee not on contributi on limits ors the b ack of this form, Use a separate <br />shoat to Itemize n 1 rontributi�Qns from a single soUrca that exceed $100 during the ealend:aryear. ThIs itemizotlon must <br />include name, address, employer or ac upaltion If self-em 0loy d, amount, and dab$ for thLase cc ntribution <br />CASH R <br />I -l' l ID <br />TOTAL. AMOUNT t .l EI ED 9 <br />EXPENDITURLS <br />Ir etude the. amount, date, and purpose for all expenditures made durlrg the period Of flMe Cn ered by this report. <br />A ttach addItiona s heets if necessa <br />Dire <br />ose <br />P <br />Amount <br />TOTAL <br />f <br />1L <br />R �I <br />CORPORATE PROJECT EXPeNDITURES <br />C orporations M u t fist any riedia project or curporate message: proj for which: contribu:tIon (s) or a pendit.ure( ,A) talal <br />mare than $200, S ut a s op arate repor for each project. Attach 2.dditioraI Sheets if necessary, <br />Proj et title or de rir %tion <br />[dale Purpose N ame and Address Ex endure or <br />o f loo ipiont C ontribution <br />Amount <br />Tota <br />I certify that thIs It a fFi.11 art.-d- t rue statement. N <br />S I g n-stu re Date <br />Printed Name V T lephon L IYI <br />dd rp .qs op'-� e. --tkt� 11 <br />tRvised V eY, 2749 <br />