HomeMy WebLinkAboutStatement of Personal Expenditures 3-4-2024FurvsToNi: TowN CLERK S ac
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9950 Park Avenue Town cleft offfm
Firestone, CO 80520
TownClerFirestoneCO,gov
Pb: (303) 531-6264 FIRESTONE MAR 4 2024
Fax(720) 70-4106
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STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDA
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 off did t :
City: State: C) Zip Code:
Office: District No.: NOT APPLICABLE
Reporting Period: Be inning Date 2
9 4 Ending Date
Total amount of Non -itemized Expenditures ($19.99 or less): S
Expenditures exiceeffing $19.99 shall be itemized and fisted below.
Date�Exponded Amount Name of Reecipient_. Address
(- A' iv
city State Zip Comment / Purpose
Date Expended Amount— Name of Recipient Address
- A -
city to Zip Comment Purpose
I certify to the best of my knowledge this
Candidate Signature:
nditures is true and correct.
It tj
Date: /7' ')
Firestone Town Clerk Rev. 12/2023