HomeMy WebLinkAboutStatement of Personal Expenditures 05-01-2024 pace Below for Office Use Only
Firestone Town Clerk Rev. 12/2023
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: _________________________________________________________________
City: __________________________ State: ______________________ Zip Code: _______________
Office: _______________________________ District No.:_NOT APPLICABLE_________________
Elec./Yr.:_________
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 Expended Amount Name of Recipient Address
$
City State Zip Comment / Purpose
Date Expended Amount Name of Recipient Address
$
City State Zip Comment / Purpose
Date Expended Amount Name of Recipient Address
$
City State Zip Comment / Purpose
I certify to the best of my knowledge this Statement of Expenditures is true and correct.
Candidate Signature: ______________________________________________ Date: ____________
FIRESTONE TOWN CLERK
9950 Park Avenue
Firestone, CO 80520
TownClerk@FirestoneCO.gov
Ph: (303) 531-6264
Fax: (720) 713-4106
www.firestoneco.gov
Ray Byrd
4720 Lakeside Drive
Firestone Colorado 80504
Trustee
2024
03/ 2024 0//2024
$.0003/ /2024 FaceBook
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03/ /2024 $.00 FaceBook
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___________________0//2024
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