HomeMy WebLinkAboutStatement of Personal Expenditures 3-18-2024FIRESTONE TowN CLFRK Space Below for Office Use Only
9950 Park Avenue
Firestone, CO 80520
TowaCterk@Fire,qtoneCO.gov
FirestoneCO.gov
Ph:(303) 531-6264 FIRESTONE
Fax: (720) 713-4106 t 0 L tt R A it o
STATEMENT OF PERSONAL EXPENDITURES A CANDIDATE
[ -45-1 os(1 ) & 1-45-109, C.R. ]
For use by a candidate who has not received: any contributions (does not have a candidate committee) but has made
expenditures of personal funds.
Address of Cadidate: ` w
City a State ` dip Code:
Qfffic District No. NOT APPLICABLE
Elec./ITr.:
.Reporting Period: Beginning Date Ending Date
Total amount of Non -Itemized Expenditures ($19 99 or less):
Date E ended
ount
Name of Re i ient
Address
City
State
Zip
Comment l Purpose
Date Expended
Amount
Name o eci ient
Address I
city
State
Zip
Comment / Purpos.c
Date Expended
Amount
Name of Recipient
Address
City
State
Zip
Comment__ l Purpose
I certify to the best of my 1 no edge this Statement of Expenditures is true and correct.
Candidate Signature: Date:
Firestone Town Clerk Rev. 12/2023