Campaign Finafhce Report (NOTE: This report rnujtbe dear and legible. II m* be typed w printed m Hue or Wack ink Filer Identification Number: Name of Filing Committee. Candidate or Lobbyist:
Friends of Ed Pawlowski
(place X to the right of report type)
6TH TUESDAY PRE-PRIMARY 6TH TUESDAY PRE-ELECTION
2ND FRIDAY PRE-PRIMARY
AMENDMENT REPORT?
LJ
2ND FRIDAY PRE-ELECTION
Name of Office Sought by Candidate:
Mayor
Summary of Receipts and Expenditures from: Amount Brought Forward From Last Report B Total Monetary Contnbuliiins arm rteceints (From SrheHute l> C. Tolal Funds Available fSum of Line. A and Bl E. Ending Cash Balance (Subtract Line D from Line C) F. Value of livKind Contributions Received (From Schedule II! G. Unpaid Debts and Obligations (From Schedule IV)
PART I- If this is a Committee report, treasurer sign here. If this is a Candidate I swear (or affirm) that this report, including the attached schedules, on paper or to and subscribed before me this
diskette, are N the best of my
.
Signature of Person Submitting
I swear (or affirm) netftltofcMMMtiHWMl* MtfflMrlM piffiS and subscribed before me Ms
WnWMLSEM. UM0MUBI ALUHTOWN eiTY. LtfflGH COUNTY
•ODSSV S NVWHSM3H
has not violated any provitlurB of the AJt of Jun=3.1697
Schaduli
Contributions ai d Receipts Detailed Summ
Pago
Name of Filing Committee or Candidate Friends of Ed Pawlowski
) Period 2009(0 6/8/2009
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 iR LESS PER CONTRIBUTOR TOTAL for the Reporting Period
(1)
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AN| B)
HI
Contributions Received from Political Committees (Part A)
$
|||
$200.00
All Other Contributions (PartB)
1
II
$2,800.00
II
$3,000.00
TOTAL for the RJ sorting Period
(2)
III |||
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND D) | Contributions Received from Political Committees (Part C) | All Other Contributions (PartD)
$6,000.00
I TOTAL for the R«| porting Period
(3)
!!
||
$11,000.00
III
$17,000.00
1
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETl RNED CHECKS, ETC. (FROM f ART E) TOTAL for the Re jorting Period a
(4)
.
1
39Vd
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4602.39
1
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURId b THIS REPORTING PERIOD (add and enter amount totals from Boxes 1, 2, 3 and I; also enter this amount on Page 1, Report Cover Page, Item B.)
ZZ/SB
Jl 1
2I80TZ80T9
$20,857.33
t-E=Ba
80BZ/TT/TB
PART A CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO $250. Use this Part to itemize only contributions receiveJJ from political committees with an aggregate valu* from $60.01 to $250.00 in me reporting period. Name of Filing Committee or Candidate
I
Friends of Ed Pavvtowski
I-
Fun Name of Contributing Committee Supporters For Thomas Slonaker Mailing Address Citv Whitehall
Reporting Period 5/5/2009
Frora
4110 Scheidys Road State |2p Code (Plus 4) PA 118052
Enter Grand TOW ot Part A on Schedule I, Detailed Summary r
DATE HAY ve^ft 23 2009
BF
c
To
6^J2009
AMOUNT ji HI $200.00
Section 2. I PAGE TOTAL
DSEB-502
K/90
•oossw s
zweuaais
w-ee BBBZ/IT/IB
PARTB
ALL OTHER CONTI
DNS
S50.01 to $290.1
Use this Part to itemize all other contributio i with an aggregate value from j $50.01 to $250.00 in the J period. (Exclude contributions from political com s reported in Part A.) Name of Filing Committee or Candidate Friends of Ed Pawlowski
I
Reporting Period From 5/5/2009 TO DATE
Full Name of Contalbutgr
a.^I .UAT I :VfcAH I
John L. Crampsle SIOR Mailing Address
i_| 14 I 2009 I
3516 Pheasant Ct City
State PA
Allentown
$100.00
Zip Code (Plus 4) 18104-8844
Full Name of Contributor 23
Anthony P. Salving Mailing Address 2070 Beechwood St City Orefield
State
PA
2009
$250.00
2008
$100.00
2009
$200.00
2009
»1QO,00
Zip Code (Plus 4) 18069-3100
Full Nairn of Contributor Francisco Sainz de la Pena
Mailing Address 822FlexerAve City Allentown
State
PA
Zip Code (Plus 4) 18103-3656
Full Name o( Contributor
23
John F. Cordisco Mailing Address 507WaterviewPI city New Hope
PA
Zip Code (Plus 4) 18938 I our
Full Name of Contributor
23
Mr. Ed G. DeGrace Malllna Address 1134 Chestnut St City Allentown
State PA
Zip Code (Plus 4) 18102-3880
Entw Grand Total of Part B on Schedule I. (Mailed Summary Pa'fs, Section 9.
JPAOE TOTAL
750.00 I
DS6B-50J (7-99)
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ZT8BTZ80I9
t>£:00
8002/tT/TB
PARTB ALL OTHER $50.01 to $250 Use Ms Part to itemize all other contributio $50.01 to $250.00 in the (Exclude contributions from political com Name of Filing Committee or Candidate Friends of Ed Pawlowski
an aggregate value from ng period reported in Part A.) Raoortins Period From 5/5/200B
Full Name of Contributor Mr. Edward Charles
State PA
Zip Code (Plus 4) 18052-7210
Full Name of Contributor Mr. Gary F. Millspaugh PO Box 748 355 West Hamilton Street State Zip Code (Plus 4) PA 18105-0748 Full Name of Contribute!
Stats PA
OP Code (Plus -4) 18103-3460
Full Name of Contributor Mrs. Jo-Ann S. Kelly Malta Address 4793 Sydney Close State M> Cod6
1751 Uehigh Pkwy N (State Zip Code (Plus 4} PA |l8103-2fl14
Enter Grand Total of Part B on Schedule I, Detailed Summary Pa e, SKtlon 3. DSEB-502 (7-69)
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SI8BIZ80T9
t>e:00
800Z/II/TB
PARTB ALL OTHER CONTRI {50.01 to $250 Use this Part to itemize all other $50.01 to $250.00 in the (Exclude contributions from political Name of Filling Committee or Candidate Friends of Ed Pawlowski
with an aggregate value from period, reported in Part A.) Report!™ Period From
Sffi/2009
Full Name of Contributor Peter Wemsdorfer
Full Name of Contributor Suzanne S Mayes 317 Powderhom Rd
Full Name of Contributor Eric N. Witmondt 119 Cherry Hill Rd Woodmont Properties, LLC zip code (Plus 4) 07064-1123 Full Name of Conffibutof Herman C. Fala 704 Meadowcreek Circle
Full Name of Contributor Lehigh Valley Labor Council
IP Code (Plus 4)
I 8002-0226
Enter Grand Total of Part B on Schedule I, Detailed Summary OSEB-502 rr-99)
ZZ/60
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SI80TZ8BT9
PARTS ALL OTHER CONTR UTIONS 150.01 to $250.1 Use this Part to itemize all other oontribt s with an aggregate value from $50.01 to $250.00 in the i ing period, littees reported in Part A.) (Exclude contributions from political > Name of Filing Committee or Candidate Friends of Ed Pawtowski
Reporting Period From S/S/2009 TO DATE \OKL- UftTT JiSBB. I B 3 2009
Full Name of Contributor Mr. Barnard Lee Miffing Address 1011 WAJIensLn. City Philadelphia
PA
$100.00
ap Code (Plus 4) 19118-3316
Full Name of Contributor 2009
Richard A. Anderson Mailing Address 3350 Bingen Rd City Bethlehem
State PA
Zip Code (Plus 4) 18015-5713
Enter Grand Total of Part B on Schedule I, Detailed Summary F DSEB-S02 (7-99)
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$250.00
B NVWHSM3H
c
B350.00I
t>e-ae
SBBS/IT/TB
PAGE
PART OVER J260.I UK this Part to itemize only contribution! with an aggregate value over $250.1
from political committees in the reporting period.
Name of Filing Committee or Candida! Friends of Ed Pawlowski
I
Reporting Period From 5/5/200B
Full Name of Contributing Committee 1776 PAG Mailing Address 3031 Walton Rd Ste A201 City
|Stale
rfJSK DWCEBC 1 5 12 2009 [if fj
!|
3 aaio: 3[ 5 'I! W H III fjfflff I 5 ;! i] H ||
Uftl| TEAK 12 | 2009
ffi? TtftK 12 2009
•••aMaMaJ ^^Ifltinnnnn B1, 000.00 I] \ I J |l. nnn nn J1. 000.00 i i j
CMX PAC * | 5 23 2009 I Mailing Address t] 1865TroxellSt H Clly Istate Zip Code (Plus 4) Es Allentown IPA 18109^121 | Full Name of Contributing Committee HMO: b^T i .Tt-ftp... Cozen O'Conner t| 6 3 I 2009 Mailing Address
1800 Martlet St Ctty Philadelohia
State PA
|Zlp Code (Plus 4) Il9103
a t! SJ
I
Enter Grand Total of Part C on Schedule I, Detailed Summary D5EB-502 (7-99)
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To I 11 nnn nn B1.000.00 HI !
Zip Code (Plus 4) if
Plymouth Meetino IPA 19462-23(59 full Name of Contributing Committee Bricklayers* Allied Craftsmen Local 5 Mailing Address 2163 Benvhlll St City (State [Zip Code (Plus 4) HarrisbuTO Iwv 117104-2010 Full Name of Contributing Committee Teamsters Local 773 Mailing Address 1 345 W Hamilton St City [State Zip Code (Plus 4) AJIentown IPA 18102-4328
i
POLITICAL COMMITTEES
CONTRIBUTIONS RECEIVED
i, Section 3.
$500.00
2,500,00
1 PARTD I ALL OTHER CONTRIBUTli S OVER $260.00 f Use this Part to itemize all other contributions w5 naoareaate value of over $250.00 In the reportinn peri (Exclude contributions from political committed ported In P»rtc.) Name of Filing Committee or Candidate Friends of Ed Pawtowski Full Name of Contributor IUOE Local 542 Mailing Address 1375 Virginia DrSte 100 City State Fort Washington PA Employer Name
j
eportina. Period rom 5/5/2009 DATE t J2EAB. 2009
6
j
jj •! j Ttu Bffl»0flj|
AMOUNT
|| ill II $1,000.00
L_
3p Code (Plus 4) 19034-3257 OCCL
Employer Mailing Address/Principal Place of Business International Union of Operating Engineers #542 1375 V I :ull Name of Contributor HE 6 Mark J. Foley Mailing Address 3902 Netherfield Rd City State Zip Code (Plus 4) Philadelphia PA 19129-1014 Occu Employer Name Attorjj Cozen O'Connor Employer Mailing Address/Principal place of Business Cozen O'Connor 1900 Market Street Philadelphia PA 19 Full Name of Contributor MS,: Tom Williams 6 Mating Address 822 W Hamilton St, Su 301 City Line Construction City state Zip Code (Plus 4) Allentown PA 18101 Employer Name Occu Own) City Line Construction Employer Mailing Address/Principal Place of Business City Line Construction 818 Hamilton Street Allentown PA
lion
nia Dr. Su 100 Fort Washingkjtt PA V
*fctR
III
2009
II $500.00
L
L
y"
III
)3 V-. YEAR 3 2009
II II |||$1.000.00
r
don
!|i
jj
8101
1
Enter Grand Total of Part D on Schedule I, Detailed Summary Pa
ZZ/Zl
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SMOOI.1.
j MGBTOTAL
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|so(,00j
1 t>E:00
S0B2/TT/TB
:
PARTD H ALL OTHER CONTRIBUTI OVER J25Q.OO Use this Part to Itemize all other com/must™ « over $250.00 In the reoortinfl pel (Exclude contributions from politKal commtttet NsrraTof Filing Committee or Candidate Friends of Ed Pawlowski
,^_
S n aggregate value of ported In Part C.) eportirtg Period
i
i DATE AMOUNT Full Name of Contributor Lance O. Yarus 2 2009 Mailing Address 700 Laurel Ridge Rd City State Zip Code (Plus 4) Reinholds PA 17569-9770 Employer Name OHM ion DoeJ Regional Orthopedic Assoc. P.C. Employer Mailing Address/Principal Place of Business 410-12 Cumberland Street Lebanon PA 17042 V | YEAR Full Name of Contributor 5 Robert Bennett 2 | 2009 Mailing Address 970 N 38th SI City State Zip Code (Plus 4) Allentown PA 18104-3382 Employer Name OCQI ion J.H. Bennett, inc. Pre; . Employer Mailing Address/Principal Place of Business J.H. Bennett. Inc. 2300 Hanover Avenue Allentown PA 1 10S MO. FuH Name of Contributor ?3 2009 _ Atty. Malcolm J. Gross 5 Mailing Address 2804 W Gordon St City State Zip Code (Plus 4) Allentown PA 18104-4851 Employer Name Occu M Attor >y Gross, McGinley, LaBarre & Eaton, LLP Employer Mailing Address/Principal Place of Business
j
T
MO. Full Name of Contributor Mr. Charles Rizzo !3 2009 5 Mailing Address 1635 WesMew Drive City State (Zip Code (Plus 4) Coopersburg PA (18036 Employer Name Occup ion Eastern Time, Inc. Presi mi/CEO Employer Mailing Address/Principal Place of Business PO Box 4425 Allentown PA 18105 Full Name of Contributor _M£L . Robert G. Ciccone 5 3 2008 Mailing Address POBoxSS City State tap Code (Plus 4) Bath PA J18014-0086 Employer Name Occu on R.G.C. Development Company Exec ve Employer Mailing Address/Principal Place of Business Bracalente Construction 700 Savaoe Road, #1 1 Northam m PA 18067
Enter Grand Total of Part D on Schedule 1, Detailed Summary Pag Section 3. DSEB-S02 (7-99)
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$600.00
\
I $2,500.00
$2,880.00
II $500,00
I i III
II 192,500.00
ill |] III
I ZIBBIZ3019
uB 500 00 1
PARTE OTHER RECEIPTS REFUNDS. INTEREST INCOME. RETVII Use this Part to report refunds received, interest earns prior expenditure* that were returned to ttl Name of Piling Committee or Candidate Friends of Ed Pawlowski Full Name Lisa Pawlowski Msilha Address 43 N. 11th Street City
Zip Code (Plus 4>
Allen town PA 18101 Receiot Description Reimbursement for Inaug. Ball Tickets Full Name Wachovia Bank Mailing Address 7th and Hamilton Streets City Allentown Receipt Description
State Zip Code (Plus 4; 18101
Enter Gnnd Total of Part E on Schedul. I, Detailed Summary DSCD-502 (7-99)
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800Z/n/TB
SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUAI USE THIS SCHEDULE TO REPORT ALL IN-KIND CO DURING THE REPORTING
PAGE THINGS RECEIVED UBUTIONS OF VALUABLE THII OD
Detailed Summary Pi
Reponlng Period
Name of riling Committee or Candidate
Prom
Friends of Ed Pawlowski If. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VAI
(1)
TOTAL for the Reportm; i IN-KIND CONTRIBUTIONS RECEIVED-VALUE OP $80.01
6/5/2009 To
OF »SO.OO OR LESS PER
KGOM (FROM PART F)
TOTAL for the Reporting 'erlod
(2)
). BtKINP CONTRIBUTION RECEIVED-VALUE OVER SMO
(FROM PART G)
TOTAL for the Reporflns
(3)
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING Tr REPORTING PERIOD, /Wand enter amount totals torn Bone and 3; aao enter of) Page 1. Report Cover Page, /tern F.)
DSEB-502 (7-99)
ZS/ST
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2180128019
8002/II/TB
SCHEDULE II [ PARTG I IN-KIND CONTRIBUTIONS ft -CEIVEO VALUE OVER $250.00 I Name of Filing Commitse or Candkiate
porting Period m
irt^ of fa Pnwlnwi Full Name of Contributor Robert Bennett Mailing Address 870 N 3Bth St State City Zip Code (Plus 4) Allentown PA 18104-3382 Employer of Contributor J.H. Bennett, Inc. Mailing Address/Prindmil Place of Business innett, Inc. 2300 Hanover Avenue
PAGE _JlI_OF .
9
5/5/2009
To
$200.00
2009
[on
nt on of Contribution 2 M in Ivans for election day
Enter Grand Total of Port G en Schedule II. In-Kind ContrlButio Summary Page, Section 3. DSEB-502 (7-99)
22/91
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(200.001
ST80I280I9
8002/TT/T0
PAGE
Schedule III |: STATEMENT OF EXPENDITuJ ES
ij
Name of Filing Committee or Candidate Friends of Ed Pawlowski To Whom Paid Aharts Great Value Grocery Mailing Address 1421 Allen Street City State Allentown PA
t •'.
Zip Code (Plus 4)
18102
To whom Paid Aharts Great Value Grocery Mailing Address 1421 Allen Street
To Whom Paid Authorize.net Mailing Address 1295 Charleston Rd. Citv Mountain View To Whom Paid Damien Brawn Mailing Address 522 N Saint George St City Allentown To Whom Paid Parnien Brown Mailing Address 622 N Saint George St City Allentown
PA
Zip Code (Plus 4) 18102
Slate 2J) Code (Plus 4) 18104 PA
To whom Paid Buon Gusto Mailing Address 1901 W. Hamilton St. Allentown
"State PA
18104
Zip Code (Plus 4)
To Whom Paid CPEC LLC Mailing Address
To Whom Paid Damien Brown Mailing Address 522 N. St. George Street Citv Allentown
\\L1OLL. PM TEAKJ Amount 6 8 2003 1 _ HI Description of Expenditure |j|popsides forSenior Citizen Event J:
|j
.
state
Zip Code (Plus 4)
I
ruvv JCtfltt-l Amount 5 28 20091 Description of Expenditure >cslgn services
i
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$6.10
I
BEE
$10.60
!i|
ill ill |||
S65.00
,
j 6 28 ZOOS] f[ Description of Expenditure ffmaS services E| I
III S71S.OD ;jl |
TfcfiH • Amount 18 2009 1 IfDesciipBon of Expenditure IFizza for volunteers H I rjftr TtflHI Amount 19 20091 ff 1 iDworiptJon of Expenditure Ifizza for volunteers H
ill III ;| j |||
r? y
28 2005 1 |;bescrtotion of Expenditure Biota Pawlowski Roboeall H
r i
Tt-AK | ASTDUnt
|1
Enter Grand Total of Expenditures on Page 1, Report Cover Page f tnmn )S6B-502 (7-99) t
ZZ/il
ill ill II 1 11
Ill I |||
16 20091 itescrictionof Expenditure i islsn Serviras
Zip Code (Plus 4] 18104
$8.53
2 20091 Description of Expenditure Website Credit Csrd Service 6
15
PO Box 465 City State College
ill JjSgnjjj
.!
t
State Zip Code (Bus 4) PA 18104-5033
6
jj
State Tia Code (Plus 4) CA 94043
State Zip Code (Plus 4) 18104-5033 PA
OF
1 6 2009 1 III Dosrription of Expendlturs :jj ^opsides tor Senior Citizens Event ||
>
To Whom Paid Buon Gusto Mali™ Address 1901 W. Hamilton St. Allentown
To
1
stale Allentown
A
Reporting Period From 5/5/2009
1
II
M4.5B
ill ill $22.20 j1 || I ill
i
III $403.29 • j|
'i|
B1.317.so }I Jl III
I
|p,095.78
Schedule in £ STATEMENT OF EXPgNDITUj ES Name of Filing Committee or Candidate Friends at Ed PswtovwM
ReoorBns Period From 5/5/2009
i
j
To
!| l(|/8/200S
To Whom Paid I 28 20091 III $1,000,00 Data Holdings, LLC (Triad Strategies} [ 5 f I DescriDtion of Expenditure i| 1 MaSiriu Address \ |4 email blasts to 30k |j| 11 6 Pine St., Su 502 State ft Code ,™»« || Cltv Hamsburg PA To Whom Paid III $390.SS Michael Dee S 22 2009 1 Mailing Address Description of Expenditure :|| 3228 Clear Stream Drive |Consultant Services A reimbursables ||| State Zip Code (Plus 4) City • Whitehall 180S2 1 PA III To Whom Paid f MP. "»T X£fl» | Amount ill 5 28 20091 _ III Democratic Leadership Council ' s $50-00 t Description of Expendttwre Mailing Address i| | Mainstream Movement Membership ||| 600 PA Avenue. SE, Su. 400 State Zip Code (Plus 41 ;: Cltv Washington DC 20003 II To Whom Paid 5 Jude-Laure Denis 15 20091 ii $1,80000 Description pf Expenditure :| Mailing Address 40 Witman Drive Consultant Sarvices j| City State Zip Code (Plus 4) Brelnigsville PA 18031 i II To Whom Pa Id Jude-Laure Denis e 8 ?0d9l 1 S7969S f \ Description of Expenditure jI Mailing Address 40 Witman Drive Spinal reimbursements f | if City State Zip Code (Plus 4) Breinigsville 18031 | PA YEA^ • Amount To Whom Paid VV^ Facebook Advertising 523.77 I 5 6 2001TI Mailing Address i| DescrioHon of ExoendituiB SfaceDook Advertising 165 University Avenue City Zip Code (Plus 4) | Palo Alto g 94301 (j To Whom Paid ^JCtAMJ Amount " " 20091 11 Facebook Advertising ^29.63
{
I1AV
F
HDescription of Expenditure
165 University Avenue City Palo Alto To Whom Paid Facebook Advertising Mailing Address 16s University Avenue City Palo Alto To Whom Paid Facebook Advertising Mailing Address 165 University Avenue 'aloAlto
State ^Code.Plus,,) CA
Stale 1 Zip Code (Plus 4) 94301
w\
ZrpCod9(Plus4) 34301
IfacebooK Advertising J-
Is 1? 20091 Ijpescriptiofl of Expenditure ijacebook Advertising 13 |i an" I refiKJ Amount 15 | 2009 1 riplion of Expenditure 30K Advertising
ir |
i
f, 156.76
K5EB-502 (7-99)
3£Wd
I J29.29 '|
"
Enter Grand Total or Expenditures on Page 1, Report Cover Page • tern D.
ZZ/BI
pa.*?
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ZT80TZ88I9
Name of Filing Committee or Candidate Friends of Ed PBwIowski
Mailing Address 165 University Avenue
Enter Grand Total of Expenditures on Page 1, Report Cover Page? tern D. DSEB-502 (790)
ZZ/6I
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3T80TZ80T9
f£:00
BBBZ/IT/TB
Enter Grand Total of Expenditures on Page 1, Roport covor Page,? DSEB-502 (7-B8)
8082/11/10
i Q vynom nara
Syrian Arab American Charitv Association
Enter Cmnd Total of Ejpendltunjs on P«B» 1, Report Cover Pags.'-jtoitl D. ! DSEB-502
52/TZ
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Schedule III
(
STATEMENT OP EXPENDITlf <ES Name or Flung Committee or Candidate Friends of Ed Pawlowski
Reiwrtins Period From 5/6/2008
lo wnom Paid The Mail Room Digital Print and Copy Center Mailing Address 1231 Airport Road City Slate ZiD Code (Plus Allentown PA 18109 TO Whom paid The Mail Room Digital Print and Copy Center Mailing Address 1231 Airport Road Stale Zip Code (Plus 4) PA 18109 TO wnom paw Mercedes Tonne Mailing Address 406 N 8th St
Description of Expenditure Minting Services
l-il Description or Expenditure
Description of Expenditure Itant services, and re Stats Zip Code (Plus PA 18102-2816
To Whom Pan Mercedes Tonne Mailing Address
Description of Expenditure Services and
406 N 8th St State PA
Zip Cade (Plus 4) 18102-2816
i o vvnom United States Postal Service Mailing Address 442 Hamilton St.
Description of Expenditure ostal eon/ices State Zip Code (Plus 4) PA MS105
Jo Whom Paid Unitemized - Cash to buy t000 minutes on pnone oafds for phone State PA
Zip Code (Plus 4) 18101
of Expenditure cams for phone banking State PA
ZID Code (Plus 4 11111
o wnom Sandra Wideman ailing Address 3305 Richmond Road
ascription of Expenditure Services May
o wnom Maid Sandra Wideman Mailing Address 3305 Richmond Road
escription of Expenditure Mimbursement tor office supplies state zio code (Pius 4) PA 18040
Enter Grand Total of Expenditures on Paga 1, Report Cover Pag*, tjf DSEB-50Z(7-e9)
39Vd
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ZT8BT.S80I9
t>£:0B
8003/11/18