HomeMy WebLinkAboutStatement of Personal Expenditures 05-01-2024Spec f1clow ffit Office Use Only
Fiat Molls C o 8052it
`ics��zt �err`(ds"9 rrr attaCE"aJ. f,�
My (303) 31 26
Fax (7N)) ` 134f06 FIRESTONE
STATEMENT OF PERSONAL SONS L EXPENDITURE S A NDIIIA E
[1- 5-ltls(i) & 1-4 -10 , C.tt,:.l
For use by as candidate who has not received any contribution (dos nett bAVC a candidate crrzrrrrrattee) IInat has made
expenditures of personal funds.
Name
of Candidate:
Address of Candidate.
Ci
tµs L
zip la Cade Office: District l o,: NOT APPLICABLE
ElecJyr.:
Reporting period. Beginning Date Ending Date
Total amount of Non -Itemized Expenditures ($19.99 or less):
Expenditures exceeding $19.99 shall be itemized and listed below.
Date Ex ended Amount me of Recipient Address
City State Zip Comment 1 Purpose
Date E ended Amount Name of Recipient Address
City State Zip Com ent / urpose
I ate Expend ed Amount Naive of Recipient Address
4)� . _Q�
F_1�v
Cis State Zip' Comment i Purpose
leak '���k� " t
�_._
cep y cs tl c he t my ncr penditC res is true and correct,
Date,:
Candi( to Signature
ti` ccstcn caxiir Clerk R c. 12l2023
,. �.. .... .,._.,.:.. .. ..._.. ,_...W
Ira r' t`cttiv
magi 1 ik, it+sa ten,
�a
Firest tts ti Ca 80510
:`c+wncla a4a F mmtmt, C0_g sv,
Jlh� (�03) 531-6264 FIRESTONE
Fax—, ('0) 713-41 6 C d) 1, 1) R .A 11 0
� teta^«'a lK�.rottua�ss.�;a t
STATEMENT OF PERSONAL{ EXPENDITURES BY A CANDIDATE I
tl_ -1 (l) & 1-4-109, CR&I i
For use by a candidate who has not received any contributions (does not have a candidate committee) but bas male
expenditures of personal funds.
Name of Candidate:
dilate:
i
Address of Candidate:
r
;pity: _ dState: Zip Code:
Office: : District No.: NOT APPLICABLE
Ele.'`r..
Reporting Period: Beginning Date � � � c Ending Date
Total amount of Non -Itemized Expenditures ($19.99 or less):
Expenditures exceeding $19.99 shall be itemized and listed below.
Date Expended Amount Name of Recipient .Address K
$
City StateZip Comment / Purpose
Ctd (S ra A
Date Kjpended Amount Rama of Reci ient Address
City State Zip Comment l Purpose
Date Expended Amount Name of Recipient Address
State Zip Comment / Purpose
pose w._.
I certify to the best of my knowledge this Statement of Expenditures is tree and correct.
Candidate Signature: _.....�` . � � Da e n �m.w