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a) E For Office Use Only: CAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate, committee or corporation ZOC(A2-0, (4,(A/ri--(
Office sought or ballot question District
Type of Candidate report
report 101 Campaign committee report
Association or corporation report
17' Final report
Period of time covered by report:
from ( I 12Z-to I /7-1/Z2._
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded $100 during the calendar year. This itemization must include name, address, employer
or occupation if self-employed, amount and date for these contributions.
CASH TOTAL CASH-ON-HAND $ 3
IN-KIND +
TOTAL AMOUNT RECEIVED
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Dte i Purpose / Amount
117 122. SITit, 1. ' .,,a, - i--JoyytoPc ,5/5
9 / 7 /.2:Z 1--c610-1-L- .-5-76riid - Loirvcii-mcv&Ik-- ,2 7 0 0
TOTAL 3 2_, I
CORPORATE PROJECT PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than $200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date Purpose Name and Address
of Recipient
Expenditure or
Contribution
Amount
TOTAL
I certify that this is a full and true statement. P)&kie_y16J-(9-7-L-)
Signature
Date
Printed Name --\\ --Ctlitti\Saf felephone 9S aLIV (--f
1
Email (if available)
Address (2 4) rl C 0 \rcl v- VI
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