HomeMy WebLinkAboutStatement of Personal Expenditures 2-2-2024FIRESTONE TOWN CLERK Space Below for Office Use Only
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO.gov
Ph: (303) 531-6264 FIRESTONE
Fax: (720) 713-4106 C 0 L 0 R A D 0
www.ffrestoneco_gov
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[1-45-108(1) & 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: S � � r a ,
City: 1' 5 State: 0 Zip Code:
Office: -IrvsVtz,- District No.: NOT APPLICABLE
Elec./Yr.: 2.0,2.
Reporting Period Beginning Date % 1 / Ending Date
Total amount of Non -Itemized Expenditures ($19.99 or less):
Expenditures exceeding $19.99 shall be itemized and listed below.
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Date Expended
Amount
Name of Recipient
Address
City
State
Zip
Comment! Purpose
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I certify to the best of my knowledge this Statement of Expenditures is true and correct.
Candidate Signature: Date:..�,2. c
Firestone Town Clerk Rev. 12/2023