Ct Laborers

Section B. Additional Pase

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fl Yes .E No

rfr^-ii'IE** # b g- t'l

Personal Check

I

lto

Credit/Debit Card

fl

.lty^

I Yes ENo

a lobbyist, spoue, or dependent child ofa lobbyist?

'aq

D?-Ao

U

MI

I

,r

Payroll Deduction

ffi

ry?+e

( \,r,^

fl

MI

fl

Creditfpebit Card

fyes. Iisi Event # b-9-

"

Personal

J.,.,"

Is contributor a lobbyist,

fil

at more than

fl Yes fl

$5,000?

Huction fl

Money Order

A

MI

No

D Yes ENo

/

a.or

Aggregate contnDuuods

?-l'l- a r'

?a

'w

Prilcipal Occupation

Amount of

Contribution

I :r

Is contributor a principal

fyes,

ofa

"

/

L

spouse, E

fl

fundraising event listed in Section

Ll?

Ifyes,listBvent# _

Yes

E

o#

Payoll Deduction

I

Money Order

* (4. ':;"e - t' ) , ,t

MI

itate

1io

Code

Check

E

Aggregate contnbunons

?5,o

Pnncipalryggg* J rXtt)tti<

u ,, lrtv l,

,q-tv-d? lNane of

Employer

'

Amount of Contribution

i

lr cttU 1,rL.tr,.i,\ 71,'t.,".1 f-et.1.,ekr:>t #tre " If contribution is in excess of $400 to a candidate committee for a chief executive officer ola

No

municipality does contributor or business he/she is associated with have a contract with said fl Yes E *o municipality valued at more than $5,000?

D Yes {No

Is contributor a principal ofa state contractor or prospective state contractor? I/yes, indicate r**rich branch or branches ! Executive f1 trcgislative o-f govemment the contract is with:

Credit/Debit Card

fl

Payrolt

Huction fl

Money Order

i

o

oo,'o

E Yes ENo

Aggregate contribfiions

Date Received

Method of contribution:

J5;"" Yes

ilNo

indicate which branch or branches Date Received

/, /, ,

E

state contractor or prospective state contractot?

ofgovemmentthecontractiswith: IExecutive [JLegislative

Check D Credit/Debitcard

Is this contribution associated with a

personal

Yes

INo

?

ordependentchildofalobbyist?

p

/Lvw

-

ioi it i" &cess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract with said municipality valued d more than $5,00O? E yes E No

No

3 oo. (i<.le

D Castr

Payroll

lfJ"n

Yes

n

-2-Lrt

n', ?,

{esrdennal street Aoorss

'a

D

Sa",J- fJ*,

tr

Is this contribution associated with a lundraisine event listed in Section Ll

?'f7

T

NAneifEnS

Lwg

Contribution

itate

I'o,.e

6 lobbyist, spouse, or dependent child ofa lobbYist?

K

arp

Amount of

Principal Occupanon

Bn".lo..--

J"

is coniibutor

D Casn

itate

Fi6t

Method of contribution:

Aggregate conmbuaots

ctr-2e-e?

Money Order

I

I u,u"

E

Dale Received

Check

fl Yes []No

Is contribulor a principal ofa state contractor or prospective statd contractof fyes, rrdicate which branch or branches E Executive E legislative oigouemme.tt the contract is with:

No

t

/-/-c,,e-'t

orumptoyer-

a candidate committee for a chief executive officer of a municipality does contribr.rtor or business helshe is associated with have a contract with said

lesidmtipl Strwt Ad4Hs

rt

6G4rf

D

!, lJ","k

.ts vo

'a?

fyer, listEvent# 8*-Aa

Last

4p Code

17-

bar"^

municipali8 valued

fl

Nane

itate

I

Y,,

E Yes DNo

Is this contribution associated with a fundraising event listed in Section Ll?

Amount of

Contribution

with:

-15 ,r-t-

Is contributor/a lobbyis! spouse, or dependent child ofa lobbyist?

/?c,ca

Prircipal Occupatim

Is contributor a principal ofa state contractor or prospective strate contractor? {ryes, indicate which branch or branches Executive D Legislative oi-govemment the contract is

tmt

I

fl

AggreSate conmounons

cq-1,{-uq

Money Order

in excess of $400 to a candidate committee for a chief executive officer of a municipality does contributor or business he/she is associated with have a contract v/ith said [ Yes fl No municipali8 valued at more than $5,000?

Credit/Debit Card

(: l"^* 1tn,,* R*idential Ste€t Address li Lr-"- 1o^e-

Method of co4tribution: Personal Castr

fl

DateRcdved

Method of contribution: fl Cash { rersonal Check

3'e,6*

ff *n!iU"tio"'ir

.4 Y* fl No

Is this contribution associated with a fundraising event listed in Section Ll?

L6rNalne

/

l./c-,'b

Is confibutor

fYes, listEvent#

Payroll Deduction

/ f,rourS

r

)":r':HIJ#*s,l

fl Yes []No

ofgovemmentthecontractiswith: flExecutive Ekgislative

Fist

sa
06vt*

-tf*

Is contributor a principal ofa state contractor or prospective state confactor? fyes, indicate which branch or branches

ves

Lay:\Tme

1)

Amount of Contribution

,/

Namr oTEmplo

,rP LOOe

;tate

/

l1'- *u^;,/otte-J

Date Reqved

Method of contribution:

! c^ft !

S;

excess of$400 to a candidate committee for a chiefexecutive offtcer ofa municipality does contributor or business he,/she is associated with have a conkact with said il yes fl No municipality valued at more than $5,000?

E

f

-c

?'

Ifcontribution is in

$

Is this contribution associated with a fundraisins event iisted in Section Ll?

PrincioalOccuoatim^

MI

'oZ.rL,

Is contributor a lobbyist, spouse, or dependent child of a lobbyist?

-Jc6

Contributions from Individuals

Rq

';;"n;"ii:--,,)o

lr\Irl r.tlIF NATF

"/o -ta

B. Itemized ( os.u,.-

LPI''Ime

I

trTI

a8-21 "a? SLBTOTAL Section B-This Page

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