Professional Documents
Culture Documents
PAGE 1 OF
CAMPAIGN FINANCE REPORT (COVER PAGE!
(NOTE: This report must be clear and legible- It may be typed or printed In blue or black ink.)
Street Address:
AFODAVn SECTION
PARi 1--. If ims. .is ~3-Committee-report, tress^rer sicn here, !? t'nis.is a Candidate report, candidate s
STATEMENT OF EXPENDITURES
(NOTE: This repor must be clear and legible. It may be typed or printed in blue or black ink.)
File
Nur^Identification ^ Rep-t^ ^JJ^^J- J^^E= |^J_L03|«ST ^
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Number Code
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Code
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o Signeltife of Person Submitting Repon :
pr* 'fecqfft;rQl_a_CanJid3t6's Authorized '•Committee,' -candidate .shs ; sian h=-e. " -.--"" ." " --"-.,'-" - - - '-.-. |
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i-* i^ijuai [Of afhrmj th"
(P.L. 1333, No, 320) as amended.
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bed b 9 f o r e m, this ill jt
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DSEB-5D3 (7-99)
SCHEDULE 1 PAGE Z OF
:i:"UNITEMlZED; CONTRIBUTIONS" AND: RECEIPTS -: $50.00 OR LESS PER CQNTBiBUTQBV'Tli'- • hi"' ";.,.
;:
4,;>GgNTRlBUTlONS S50.01 TO $250.00 (FROM PART -A AND PAFiTyBL: - •-- •• - - ', -• :_~
Contributions Received from Political Committees (Part A) S —
: ri CONTRIBUTIONS" DYE '0 (FROM PART C AND PART D) :- - _ - - "----. ' - ", ..;..
Contributions Received from Political Committees (Part C) $
/00(? ,*-'<?
All Other Contributions (Part D) $
?r<"d.~w
TOTAL for the Reporting Period (31 5
/531?, -'-'
J:
14:. OTHER RECEIPTS - REFUNDS, INTEREST EARNED,- RETURNED CHECKS;' ETC. (PRiSM^FART"!} :~f -|
TOTAL for the Reporting Period (4)
1
DSEB-502 (7-991
AUC
PART B f-
5BaRaa=l=aB^
s
Full Name of Contributor - MO". -"
•-^"P'!'Y '
YPiR. .
$
al ing ' MO. -- ' DAY YEAR -
$
$
Full Name of Contributor IvTO.- ...DAY - ; YEAR--
s
ai mg - .MO'." - DAY TEAR, -=
s
jcity I State i Zip Code (Plus dT MO. ' DAY - YEAR- 1
~ $
Full Name of Contributor ,MO; -- 1 DAY- '- YEAR
s
ing - WO, - DAY V YEAR-
$
City Zip Code (Pius 4] -MO. ' • -DAY • "YEAR •'-.
- $
PAGE TOTAL
Enter Grand Total of Part B on Schedule 1, Detailed Summary Page, Section 2. $ ^ft),^
HSEB-502 (7-99)
PAGE / OF
PART C
r A^nn9c°o"G,
Mmling Address
-frfS^y^
- MO. - 1 DAY ' -1 YEAft^-
s
5bf?, &°
ff& PfijKj^&@£i wm> 1 $
c''ty "/i 1 " -, State Zip Code (Plus 4l • : MO. • •DAY. • YEAR-
~|7 $
Full Name of Contributing Cojnmitlee ^, f. - MO;- ' ---•DAY- YEAR..
$ Co
<JC- £j?~ _\2-^r_ 3dl?l
- MO.. • i DAY YEAR .
""""g/*"7' ^g A,*") $
City
. -MO."
MO.' •-DAY-
•-' o AY • -
YEAR
• YEAR --
$
S
Mailing Address • Ma. - - -..DAY = ,, YEAR:.
$
City MO.--' -'-DAY--1- YEAR 1 -
- S
Full Name of Contributing Committee MO.. DAY-"
$
ai mg ress ""-'MO-'" ~>--.\ - -YEAH
! $
City Z i p Cofle (Plus 4) 1 ! ;
. • MO. I -DA'Y ' "-.YEAR
$
Full Name of Contributing Committee MO. •' DA'V"--'- --YEAR
$
-.. :MO: ' DAY=-v --YSAR-
$
City . • .-MO, - • - DAY - --YEAR" '
- $
"
M0
- -: - DAY- '"':"*i£AR' ':
$
-WO. - E DAY - YEAR- '
8
S
City Zip Code TPlus 4| . -MO-.. .• DAY . 1 YEAR' -
S
Full N.me o< contributing Comm.tte, MO:--- - - D A Y ' ' "YEAR
$
Mail ing A d d r e s s MO. - . DAY. -'EA= -
S
'.ity Steie Zip Code (Plus 41 MO,- .- .DAY "'YEAR'"
:
- $
Full Name of Contributing CommiUM MO. -•- DA-Y - ' YEAR '
$
Mailing A d d r e s s MO: ;' ' DAY
1
"-YEAR-
$
City State Z i p Code IPlus 4) MO.- - - DAY-"' -' Y E A R •'
-
S
PAGE TOTAL
Enter Grand Total of Psrt C on Schedule !, Detailed Summary Pass, Section 3. $ /3jg ^
3 S E E - 5 0 2 (7-931
PART D PAGE J 7
ALL OTHER CONTRIBUTIONS
OVER £250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period
From Of/erf
AMQUMI _._
STATEMENT OF EXPENDITURES
eporting Period
?il 1
Zip Code (Plus 4)
*W
Descript on of Expendit
To Whom P a i d ^DAY^^^YgAR^
Mailing Address
Mailing Addre
H.™,
Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, item D.
DSEB-E02 17-391
PAGE /
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
lisa this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Reporting Period
From 6>Paj~
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Itam G.
DSS3-502 (7-9BI