HomeMy WebLinkAboutStatement of Personal Expenditures 03-18-2024G Space Below for O Use Only
9950 Park Avenue
Firestone„ CO 80520
TownCterk@FirestoneCO.gov
Ph: (303) 531-6264 FIRESTONE
Fax: (720) 713-4106 c. 0 1. 0 R A D 0
M �. e stcnec >v'
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[1-45-1 (1) & 1-45-I , 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.
Name of Candidate:
Address of Candidate:
City: I L-&S)SLY\e/State; C Zip Code:
Office: District No.: —NOT APPLI L
Elec./Yr.:
Reporting erica Beginning Date; , j' Ending Date J� �
Non - Itemized Expenditures less): _
Expenditures exceeding shall a itemized and liste .
y
Date Expended'_
e of Recipient
Address
city
State
i
Comment ! Purpose
certify to the hest of my knowledge this Statement of Expenditures is true and correct.
CandidateSig-mature: .-.� ate: 3
Firestone Town Clerk Rev_ 12/2023