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L <br />L <br />W <br />F� <br />ti <br />Lek <br />W <br />E <br />ca <br />z <br />a <br />c <br />0 <br />v <br />D <br />O <br />U_ <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br />Name of candidate committee or corp oration f1pe Y_ 14 V <br />Office sought or ballot question sev ,14 cowa District <br />Type of report Candidate report Period of ime covered by report: <br />Campaign committee report 7 r og) <br />Association or corporation report <br />Final report from to <br />CONTRIBUTIONS <br />Give the total for all contributions received during the period of time covered by this report. Contributions should be listed <br />by type (money or in -kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate <br />sheet 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 if self-employed, amount, and date for these contributions. <br />CASH <br />IN -KIND o <br />TOTAL AMOUNT RECEIVED 5 <br />EXPENDITURES <br />Include the amount, date, and purpose for all expenditures made during the period of time covered by this report. <br />Attach additional sheets if necessary. <br />Date <br />Pur ose <br />Amount <br />6 0B <br />7� <br />41! 0 <br />Tota I <br />TOTAL <br />3 L <br />CORPORATE PROJECT EXPENDITURES <br />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 />Project title or description <br />Date <br />Purpose <br />Name and Address <br />of Recipient <br />Expenditure or <br />Contribution <br />Amount <br />Tota I <br />certify that this is a full and true statement. <br />Signature Date <br />Printed Name a r2. t' 1 r Telephone 4e�ZIIW 5 f Email (if available) <br />Address d I l2D P i%nrie f V e- N QS rn h J� <br />Revised May, 2008 <br />