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CAMPAIGN FINANCIAL REPORT <br />r (/U! Of the l#Mar»ati0►t In tl►!S l+epol't is puW1C N1fOnr►aifo/►) <br />Name of candidate. corrunit�ae, or oaporation ��o S C� Ock0� <br />Office sought or ballot questiw cv S.e�1/ 2 pistrid <br />Type of report Candidate report Period of time covered by report <br />Carnpao corrnnitEee report <br />F Assoaatian or corporation report from I I i Q to <br />0 <br />r- <br />0 <br />0 <br />oC <br />Give the total 1br all contribudons received during the period of time covered by this report. Contrite should be listed <br />by type (money or k"dnd) ratlr ftn contributor. See note on contribution limits on the tack of this form. Use a Separate <br />suet to itemize all contributions from a single source that exceed $100 during the calendar year. This itemization must <br />include name, address, employer or occupation N self-ernplcrpd, amount, and date fbr these contributem. <br />CASH <br />a 1 <br />IN -KIND <br />i <br />TOTAL AMOUNT RECEIVED <br />EXPENDITURES <br />0 <br />0 <br />E <br />tai <br />Z <br />w <br />c <br />0 <br />a� <br />D <br />U. <br />Include the amount, date, and purpose tar all expenditures made during the period of time covered by this report. <br />Attach additional sheets if necessary. <br />Date F'u Arrxunt <br />TOTAL <br />CAMPORA PROJECT EXPENDITURES <br />Corporations must list any media project or co rporate message project for which co ntibutiion(s) or expenditur�e(S) total <br />more than $200. Submit a report for each project. Attach additional sheets if necessary. <br />Project Mle or description <br />Date <br />Purpose <br />Nam and AWrew <br />of Recipient <br />ExpencRure or <br />CwNbufiion <br />Amount <br />Total <br />I certify that this is a full and true staternerwL <br />3 0 <br />D ate <br />Printed Name fl I <br />e i -e� Telepnone s�� y (9avaiWle) c0'mct� <br />Ada� _S'l5 Mt l /��oo� 4 ��S�i l(�, l�'� �S�L3 rut <br />