HomeMy WebLinkAboutSaylor Retention 2017 - 2017 6th Tuesday Pre-Election I
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Commonwealth of Pennsylvania-Campaign Finance Report
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Affidavit Section
Part 1-If this Is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 11111=
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowie. ,' . -j true,correct and complete.
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Sworn to d subscribed before me this f 1111
•MMONWpALTH OF PENNSYLV
1110
L ` day of •k,r 1fi, 20 NO "IAL SEAL 4 _,
i mss►.• Joseph K.L hr,Notary Public S. ature of r b ltting re,•rt
�ar'- ._ r'lly of Harfise r.,Dauphin C• i ' -y-s1 I
Oct 1'
Signature M Commission x.Irse 8,2020 'rintedName
0 Iv
•mmission expires !' 0 ( -
7210
MO. DAY YR. Area Code Daytime Telephone Number
Part II-if this is a report of a Candidate's Authorized Committee,candidate shall sign here.
I swear(or affirm)that to the best of my knowledge and•ellef this political committee has not violated any provisions of the Act of June.3,1937(P.41333,NO.320)as
amended.
. ., •NW ALIN OF PENNSYLVANIA
Sworn to and subscribed before me this NCTHRIAL SEAL
Joseph K.Lahr,Notary Public A
1' A day of-1 4.,V t F,L / ,�,20 17 City Of arri$Iurg.Dauphin C A I,�p,. it
II My Com 1e610n Expires •C. ', ignature of Candi Y
/..r;► Rinses,PE NEAVANIAASSOCIATiON•fN• IN �S G'- Yjdr
Signatures Printed Name �r
My Com ssion expires ID le 24520 717 0'1-[J 63a
MO. DAY YR. Area Code Daytime Telephone Number
I
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
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Contributions Received from Political Committees(Part A)
All Other Contributions(Part B) U
Total for the reporting period (2) 1
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Contributions Received from Political Committees(Part C)•
All Other Contributions(Part 0)
Total for the reporting period (3) II
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Total
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Total for the reporting•perlod (4) 111
Total Monetary Contributions and Receipts during this reporting period(Add and
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report �^ .pp
Cover Page,Item 8) lJV
PART D
, Ali Other Contributions
1 Over$250.00
•
Use this Part to itemize all other contributions with an aggregate value over$250.00 In the reporting period. •
(Exclude •
contributions from political committees reported In Part C)
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PART D
All Other Contributions
Over$250.00 •
Use this Part to itemize all other contributions with an aggregate value over$250.00 In the reporting period.
I (Exclude contributions from political committees reported in Part C)
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i SCHEDULE III
Statement of Expenditures
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