HomeMy WebLinkAboutStatement of Personal Expenditure 03-18-2024....m. �.
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For use by as caattdida(e who has oot roreived a "y vootribotiot s (does ► of have a caaatrllrlaatc rac rrall } bUt bas made
Name of Oandidatc-,
Addre.ss of Candidate:
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City: e _ __ __ St tu; _ � � Zip Code:
t l rc District No.: 0TAPf�L1Q
Reporting Period: Beginning Tate Ending Date
r "Dotal amount of Non -Itemized Expenditures ($19.99 or less);
Expenditures exceeding 19.99 shah be itemized and listed below.�
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Date Expemded Amount Name of Recipient address
1City, State Zip Comment/ Purpose
Hate ended mount Marne ofRecipient address
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ity Mate Zip Comment l Vurpose
Date Expended amount dame ofRcicipliemt address
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City Mate Zip Comment I Purpose
CL. M v i Y�
1 uer�il; to the best of my knowledge tlzi� 1{r � rnen cr R en( it � re is trllc €�lr 1 cr�eeia t�
Candidate Signature.: � -..'
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STATEMENT OF PERSONAL EXPENDITURES tJV A CANDIDATE
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For use by as candidate who has not received :any caaaatribufloos (does not have as candidate Comm ittee) Fart bras aaa d
vxpeaaatltures of personal fti"ds. 4
Name of Candidate:
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Addivss of Candidate: WEN,
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it-v: _. State: _ dip Code �(54
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Office: District o. i'+iOT APPLICABLE
Re rtin Period: Beginning late Ending fate
Total amount of Non -itemized Expenditures ( 1'9.99 or less): 1
Expenditures exceeding $19.99 shall be itemised and listed below.
Date Expended Amount Name of Red tent Address
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City State Zip Comment / Purpose
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Date lax ended .Amount Name of Recut Address
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city Mate Zip Comment /Purpose
Date Expended Amount Name of Recipient Address
city State Zip Comment t Purpose �
t certify to the best of my knowledge this Statement of Expenditure; is true and correct.
CandidateSignature: Date:
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