HomeMy WebLinkAboutStatement of Personal Expenditures 5-2-2024iRESTONE TowN CLERK Space Below for Office Use only
9950 Park Avenue
Firestone, Co 80521
'2ownCler[c@)FiresiorwCO,g v
M (303) 531-6264 f IRESTONE
Fax: (720) 713 -4106
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[1-45-1 } (1) & 1-4 -109, .R..]
For use by a candidate who has not received any contributions (does nothavea candidate committee) but has made
expenditures of personal funds»
Name of Candidate:
5c.4-
Address ofCandidate: T
City; State: Zip Code:
Office: District o.: NOT APPLICABLE
Elec./Yr.:
Reporting Period: Beginning Date M 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
city eta
I certify to the bet of my kno e t
Candidate Signature.
1 t. I auj j # I'
Address
lip C
anent of Expenditures is true and correct..
. - Date:
r.457/a'y
Firestone Town Clergy Rev. 12/2023