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Jan 13 09 02;18p <br />q <br />0 <br />E <br />z <br />7E <br />O <br />0 <br />O <br />LL <br />Freier 661483 -2768 P.2 <br />CAMPAIGN FINANCIAL REPORT <br />(Ad of die kWbrm i qjft mport is pu bdc -jr- <br />Name of candidWW wee, or.cvrporation -S 4w <br />OMce saint or baiiot quesdon 05e v [t <br />�ct <br />Type of report Candidate rt <br />Parrad <br />CBqM CDM nYOW report c�rered by report <br />OF <br />Asaaaaticn or corporatOn nqxe <br />RnW report Id t 416 M <br />f ft�ramm to <br />CONTRiBUTIons <br />Give the total for all aontdbutior�s r9ce during the period of time covered b this <br />by fYPe (rrnar�ey or in- kinci) rather tin ���r. See rye On oc u Contnl�ans should be lamed <br />to items att ovntrtb�utlons morn a si a soer�ce ttrat tian iin�s an the back of this �a mr�. u se a se parate <br />exrceed �a du*V the caiendar year. This itemizati mist <br />Wude narne, address, employer or occupation if self -MPIOYed, amount, and date fnr two <br />c%Erbuts. <br />CASH t 'ffi� l <br />IN-MD <br />TOTAL AMOUNT R EC EFVED 1-1 <br />EXPEND17U RES <br />COF" RATE PRWECT ENDITURES <br />Corporations must ust any media project or corporate m <br />more than Oil. Submit a r Project for which �1r�autios) or expenditure(s) total <br />gate report fbr each project Attach additbmi sheefs If n <br />Pmect tie or deswiption <br />Date P Name andAddr+ass Expendrtewi or <br />of Recipient u <br />Ainoturt <br />Total <br />v <br />a�gnure <br />J Deft <br />Printed Marne ,fir✓ <br />Telephone 51 <br />ir,, <br />Add ress I <br />ftviwd may. <br />Inchmie the amount, date, and Pub fOr a@ expenditures rrrade during the Rod of tirn <br />Attach additkmal sheets if necessary. Pe a by this repor#. <br />