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<br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) 111 ~ /J <br /> <br />Name q.f candidate, committee, or corporation 2~- ~~ <br /> <br />Office sought or ballot question __ _ ~ ~___ District <br /> <br />Type of report _~ candida(l;eport Period of time covered by report: <br />____________...___ Campaign committee report p\ lA.9lu..., i ,).. ~ I J..CJ{j I <br />. Association or corporation report C ~ <br />__ Final report from ~ to ~ <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />.... <br />.... <br />o <br />a. <br />Ql <br />a: <br /> <br />Give the total for all contributions received during the period of time covered by this report. Contributions should <br />be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this <br />form. Use a separate sheet to itemize all contributions from a single source that are equal to or greater than <br />$500 during the calendar year.) <br /> <br />+ <br /> <br />$ -----==--.----..-- <br />$- <br />$ -----=--- <br /> <br />CASH <br /> <br />IN-KIND <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach addi- <br />tional sheets if necessary. <br /> <br />Ql <br />U <br />:E <br />o <br /> <br />Date <br /> <br />Purpose <br /> <br />Amount <br /> <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) <br />total more than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />Project title or description <br /> <br />Date <br /> <br />Purpose <br /> <br />Name and Address <br />of Recipient <br /> <br />Expenditure or <br />Condition Amount <br /> <br />QJ <br />E <br />co <br />z <br /> <br />~ <br />c <br />o <br />CD <br />Ul <br />::J <br />CD <br />U <br />:;:: <br />- <br />a <br />L- <br />a <br />LL <br /> <br />TOTAL <br /> <br />I certify that this is a full and true statement. <br />:V' !1 Signature <br /> <br />Addeoss 6 S"::) k/ 6---'<<./l~h/ <br /> <br />FINRPT Rev.6/9B <br /> <br /> <br />~ <br /> <br />~ ~r~7' <br />~ <br />CJ <br />( <br /> <br />I ( <br />