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CAMPAIGN FINANCIAL REPORT OV
(All of the information in this report is public information)
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Name of candidate,committee or corporation iie let 6/1-vikii, -4'
Office sought or ballot question 6 t)17 667(-4'i 6 i j District
Type of Candidate report Period of time covered by report:
report Campaign committee report
Association or corporation report from iv' -.54'Ito PIZ--2-Y
Final report
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CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind)rather than contributor. See note on contribution limits on the back of this form.Use a separate sheet to itemize all
contributions from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer
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o or occupation if self-employed,amount and date for these contributions.
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cc CASH $ 1 117 a TOTAL CASH-ON-HAND $
IN-KIND +
$
TOTAL AMOUNT RECEIVED -..
$ /11 lea
DISBURSEMENTS
Include the amount,date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Date Purpose i Amount
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(..)
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0
,
TOTAL
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CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than$200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address Expenditure or
of Recipient Contribution
Amount w
E
TOTAL
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Z I certify that this is a full and true statement. , / -K, i 111 Z 3 2 1
(I)
Si: ure Date
QJ Printed Name c,.I,f-t Telephone i 132,--',14‘1- 5*5 Email(if availablt f-all-t/ii--- ,7.k., /
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Address i 3-1- 0, i 14-ff - Ati,;(, i 44/47 ticAl It/, int/ S.-57 2-di
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