HomeMy WebLinkAboutStatement of Personal Expenditures 05-01-2024FIRESTONE TOWN CLERK
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO.gov
Ph: (303) 531-6264
Fax: (720) 713-4106
4r'Vv lE reL,ao1lC',t7,2LY
Space Below for Office Use Only
STATEMENT OF PERSONAL EXPENDITURES A CANDIDATE
[1-45-108(l) & 1-45-109, C.R.S.]
For use by a 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:
p
w
City: 6- _
State: ziZip Code:
Office
_ District No.: NOT APPLICABLE
L�
Elec./YL
Reporting Period: .Beginning Date Ending Date'
Total amount of Non -Itemized Expenditures ($19.99 or Iess):
Expenditures exceeding $19.99 shall be itemized and listed below.
Date Expended
Amount
Name of Recipient
Address
S
City
State
Zip
Comment en 1 Purpose,"""
Date Expended
Amount
Name of Re!4pient
."Y Address
$,.
City
State
Zip
Comment / Purpose
Date Expended
Amount
Name of Recipient
Address
$
City
State
Zip
Comment / Purpose
I certify to the best of;my4knowl this Statement of Expenditures is true and correct.
Candidate Signature: Date:
Firestone Town Clerk Rev. 12/2023