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PAGE 1 OF
CAMPAIGN FINANCE REPORT (NOTE:
This report must be clear and legible. It may be typed or printed in blue or black ink.)
N"ntifiCati°n ^
My: ^
CANOBATE
'
..COMMITTEE.
V
tObfiYlST. "
Street Address:
3,51 City:
-i
j
H -re \A&K „' <\\f
1
State:
A; gv^k KM P fr,o TYPE OF REPORT
6TH TUESDAY . - PRE-PRiWARY
{place X to the right of report type)
=8TH '.TUESDAY.. PflE-ELECTION
4
ANNUAL REPORT
1
'
-
IfiDM
;
!
2ND FRIDAY PRE-PR1MARY
^. X
30 DAY POST -PRIMARY
; j
2ND FRIDAY PRE-ELECT ON
^
30 DAY POST ELECTION
YEAR
fetw J__l__
MO-
(
DAY
YEAR
\
t^j
\
. AMENDMENT-. REPORT? '• 6
'
RLiNG METHOD CHECK ONE
MO.
A. Amount Brought Forward From Last Report
$
B, Total Monetary Contributions and Receipts (From Schedule 1)
S
C. Total Funds Ava lable (Sum of Lines A and 8)
$
D. Total Expenditures (From Schedule lii)
DAY 1
TERMINATION -REPORT?
few ™ '
PAPER :
*
DISKETTE
YEAR
CTH
rfiU
B^J-^e
Summary of Receipts fe^ and Expenditures from: P
Zip Code:
fy\
!O.
Ccu/A
\^0,,, d
,
DAY
DcVA
FOR OFFICE USE ONLY
YEAR
Pi, 43
m
'"•
^
<— ^ ^_ -'- .
L<
^j_
fi-b3
!
lie •
EL Ending Cash Balance (Subtract Line D from Line C)
5
F. Value of In-Kind Contributions Received (From Schedule 11}
s
75"C-oo
G. Unpaid Debts and Obligations (From Schedule IV)
'
LUfco
y s - 1-3
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-1 -
AFFIDAVIT SECTION PART i - If Siis is 2 Committee report, treasurer sign here, !f this is a'Catididate report candidate sign here.
Signature of/'P
My commission expir
e Twp.. Northampton County My Commission Expires Dec. 17. 2QD9 rJjr^hrr Ppnna^ania AtiOCiff
Ma
Printed Name
•
Daytime Telephone Number
PART- H - Ij^thJs -is a report..of a Candidate's Authorized Committee^candidate shafi sign here. fP.L. 1333, No. 320! es amended.
Moore Twp.. Northampton County My Commission Expires Dec. 17. 2QQ9 Pennsywania AsaocianoflCTNoafles
Printed Name
Department of State 9 Bureau of Commissions, Elections and Legislation 210 North O f f i c e Building ® Harrisburg, PA 17120-0029 * (7171 787-5280 CSEB-5C2 (7-S3!
'iB
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Reporting Period
I Name of Filing Committee or Candidate
From
t.
(1)
$
—
IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 {FROM PART F) TOTAL for the Reporting Period
3.
To
UNITEMfZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period
2.
f - \-Qij
!2)
$
IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G) TOTAL for the Reporting Period
(3)
s
2S&J&
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Ada an F.)
DSEB-502 (7-S5'
IS D ' C'D
PAGE
SCHEDULE II PART G
3
OF -•>"
IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 i Name of Filing Committee or Candidate
/ —F~ i '-Ifr -r \\c-Y.
eportmg Period
("iSofia /^r
DATS FuliName f c
° °""lbu10' -y^fp
SV fit-hx
Mailing Address
3$~n
Kv^da3" i,1/ f?h
Hc^U^^o
La 60*
AMOUNT
DAY
YEAR
DAY
YEAR
'
$ ~7Sb,oo - ,
9
\e \f,nh\
\
MO.
$
fc^s
$
Occupation
fi^^
Ae-Hu* Ue^
swl\U ^;C
j'V
^aa^fi^
Full Name of Contributor
MO?
DAY -
YEAR
s
Mailing Address
MO.
DAY
YEAR
$
MO.
DAY
YEAR
$
Stale
City
Zip Code (Plus 4i
Occupation
Full Name of Contributor
MO.
DAY
VE^R
$
Mailing Address
MO.
DAY
YEAR
s $
-
Employer of Contributor
Occupation
D Cr;P
"
"°" °f COTtnbutlorl ' DAY
YEAR
WO. -
DAY
YEAR
$
MO.
DAY
YEAR
$
Full Name of Contributor
WO-
Mailing Address
$
I State
Cay
p y
o
P yerN
'°
Zip Code (Pius 41
Occupation
"
9
r
'"CB"P°
Descnpt on of Contr bution
"'""
=uil Name of Contributor
MO.
Mailing Address
WO.
-DAY
DAY
Y£AR
s
YEAR
$
s
J^°J~
Enter Grand Total of Part G on Schedule 1 Summary Page, Section 3. DSEB-502 (7-39)
Descnpt on of Contnbyl;on
[
PAGE TOTAL
^_
"7 C~~
1±H±L_^_
7
SCHEDULE III
STATEMENT OF EXPENDITURES Reporting Period
I Name of Fifing Committee or Candidate
From _ _ ( - • • - A r~~ fj 7
DAY
MO-
'-, '1 I <$?v lcJ\ [; .-„•. "f~
City
sn of Expenditure
^
=2.Y
Szj%A£&JA
S^yufttf
YEAR
\'_ i^c
Mailing Address
TO
1 Amount
s
l^£v ~
/^V
0\
| p f, | «
~
To wnom Psid
DAY
MO.
YEAR
on of Expenditure
MaHing Address
1 Amount
u ,
City -
To Whom Paid
MO.
" DAY
YEAR
| Amount
1$ *,=ty
To Whom Paid
State
Is
AnTount
MO.
Desc-ripti an OT Ex-penditure
Meiling Address Zip Coda (Plus 4!
To Whom Psid Mailing Address
i
Descripti
-
To Whom Paid
MO.
DAY
- YEAR
D
**B*B'
C
| Amount
b
"
To Whom Paid
c,. To Whom Paid Mailing Aod.MI
State
u
MO.
DAY
YEAR |
MO,
DAY
VL^R
'
Zip Code !P!us 41
. „ . „ , . ! .
1 Amount
y
iPAGE TOTAL Enter Grand Total of Expenditures
DSEB-502 (7-!
on Page 1, Report Cover Page, Item D.
I $
SCHEDULE IV
STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Reporting Period
Kem fc d;t
" " "
Mailing Address
TcKu £b£SL --, -? ^ 1 M
Description of Debt
1^ - \ 0 •, [VQMf^ U 1 Ut? &4
jO^iE
DATE DEBT INCURRED
MO.State
DAY
Outstanding Bsiance of
Ceo"
Outstsncing Balance of
Debt
1 YSAR
Zip Crde iPStig *i
Name of Creditor
$ MO.
DAY
YEAR
INCURRED City
Description of Debt
Name of Creditor
Meihng Address
DATE DEBT iNCURRED
-
MO.
DAY
YEAR
City
Description of Debt
Name of Creditor
DEBT INCURRED
MO-
KSS
City
DAY-' •
!JuT:s:ana^ng ssiance cf
JSDI
Outstanding Balance cf
Debt
Outstanding Balance of
Debt
Y£AR
5?c=ta
Description of Debt
Name cf Creditor
s
Mailing Address
DATE DEBT INCURRED
WO.
Stets
"V
DAY
YHAR
Z i p Code F:-S 4!
Description of Debt
Name of Creditor
$ Msiiing Address
City
DATE DEBT iNCURRED
WO-
St£^5
- DA.-V-
Y£AR"
Zip Cc-ce :Fius 4:
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Itam G,
$
1H, ^o,-^c