HomeMy WebLinkAboutStatement of Personal Expenditures 3-1-2024FIRESTONETOwN CLERK
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO.gov
Ph: (303) 531 6264
Fax: (720) 713-4106
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Space Below for Office Use Only
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
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For use by candidate who has not received any contributions (does not have a candidate committee) but has made
expenditures of personal funds.
Name of Candidate:
Address of Candidate: 1'2;�'
City: 2 `� �� 1 State: `°'l Zip Code:
„a
Office: � �` District No.: NOT APPLICA13LE
Elec./Yr.:
Reporting Period: Beginning Date Ending Date
Total amount of Non- to ized Expenditures ( 19.99 or less}: OP
Date Expended
Amount
Name of Rec!pient
Address
City
State
pZip
Comment 1Purpose
Date Ex en ed
Amount
Name of eci lent
Address
City
State
Zip
Comment / Purpose
{
Date Expended
Amount-
Marne of Recipient
Address
0
City
State
Zip
Comment l u ose
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I certify to the best of my knowl ge this Statement of Expenditures is true and correct.
Candidate Signature: 117
Date:
Firestone Town C1erk Rev: 12/2023