Commonwealth of Pennsylvania
CAMPAIGN FINANCE REPORT (NOTE:
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summary of Receipts ||w and Expenditures from: W^
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A. Amount Brought Forward From Last Report B. Total Monetary Contributions and Receipts From Schedule 1'
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D. Total Expenditu es (From Schedule 111)
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E. Ending Cash Ba ance (Subtract Line D from Line C)
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C. Total Funds Ava lable (Sum of Lines A and B)
F. Value of In-Kind Contributions Rece ved (From Schedule II)
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G. Unpaid Debts and Obligations (From Schedule IV)
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T .!f this ;<-,"•£ -CoJ'i-srrutt-se rspDrt' treasurer-"sign here,
ERS.TON CITY, NORTHAMPTON COUNTY M> Commission Expires Jap 22 2013 210 North Office Building DSEB-5C2 (7-99)
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Bureau of Commissions, Elections and Legislation Harrisburg, PA 17120-0029 S (717) 7B7-5280
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PAGE
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SCHEDULE III
STATEMENT OF EXPENDITURES Reporting Peril
! Name of Filing Commjltee or Candidat
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-,-. ESSli -- " . ;=."AR: ' 1 Arnount
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Zip Code tPk
Description of Expenditure
Amount
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Enter Grand Total of Expenditures on Psga 1, Report Cover Page, item D.
DSEB-502 17-93)
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Co mm en wealth of Pennsylvania
CAMPAIGN FINANCE REPORT Piter identification l^ Number: P^
Fi'stTsy 1
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PRE-ELECTION
ANNUAL REPORT
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30 CAY
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MO.
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Summary of Receipts ^j,, and Expenditures from: P
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A. Amount Brought Forward From Last
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B. Total Monetary Contributions and Receipts [From Schedule 1
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C. Total Funds Avi 'able (Sum of Lines A and B)
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D. Tctsl txpenditu es (From Schedule
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C, Ending Cash Balance (Subtract Line D f rorr Line C)
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F. Value of In-Kin d Contributions Recs ved (From Schedule II)
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G. Unpaid Debts and Obligations (Frorr Schedule IV)
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AFFIDAVIT SECTION
:ste @ Bureau of Commissions, Elections and Leaisiation ce Building 9 Harrishurg, PA 17120-Q029 « (7171 787-S280 DSEE-5C2 (7-39i
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FILING METHOD ^. 1 CHECK ONE IP*
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SCHEDULE I
PAGE 2 OF
CONTRIBUTIONS AMD RECEIPTS Detailed Summary Page | Name of Filing Committee or Candidate
Reporting Period .
TOTAL for the Reporting Period
(1)
| Z-^'CONTRlSGrJONS f 55.01 TO SZSD.OO-sERQMSSRX-ArANDfPABT^r
Contribut ons Received from Political Committees (Part A!
5
All Other Contributions Part B)
$ TOTAL for the Reporting Period
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Contributions Received from Political Committees (Part C)
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All Other Contributions Fart D)
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TOTAL for the Reporting Period
(3)
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TOTAL for the Reporting Period
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount tot-als from Boxes 1 , 2,3 and 4; a] so enter tin's amount on Page 1, Report Cover Page, Item B-)
DSEB-502 (7-99)
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PART C
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value over $250.00 in the reporting period.
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DAY
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Enter Grand Total of Part C on Schedule I, Detailed Summary Psge, Section 3,
$ /y-o o
PAGE
PARTE
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OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Reporting Period
Name of Filing Committee or Candidate
From
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MD.. _ ^- DA-Y
.PAGE TOTAL
Enter Grand Total of Part E on Schedule !, Detailed Summary Page, Section 4. DSEB-502 (7-991
$ /6ci
PAGE
OF
SCHEDULE IV
STATEMENT OF UNPAID DEBTS Use thrs Section to itemize all unpaid debts and obligsticns which are outstanding at the end of the reporting period. {Name of Filing Committee or Candidate
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or
Reporting Period
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Description
of Debt
1 S / oG
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State
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Zip Code ( P l u s 4)
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Name of C r e d i t o r
Mailing Address
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DATE DEBT INCURRED
Put standing Balance of Debt \ S . ' - . -
City
D e s c r i p t i o n of Debt
• . . •- .Deling Balance OT Deot
Name ol Creditor
| „.,„„.,«..DEBT INCURRED
State
City
Zjp Code Plus i)
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D e s c r i p t i o n of Debt
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DATE
Mailing Address
DEBT INCURRED
City
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Is Mailing A d d r e s s
DATE DEBT
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NCURRED City
State
I Zip Code (Plus £,}
D e s c r i p t i o n o f Debt
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________ Outstanding Balance of Debtl
Name of Creditor
s Mailing A d d r e s s
DATE
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-' i * P - ..
!ity i; D e s c r i p t i o n of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Psge 1, Report Cover Page, Item G.
$
1