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HomeMy WebLinkAboutPickford, Susan - 2017 30-Day Post Election IIll I Reset Form r Print Form , Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate X Committee Lobbyist Number (Mark X) • Name of Filing Committee,Candidate or • Lobbyist L__ a54-7() J /G/td _. Street Address ,J a6. /a c2 srNvr ‘.77--City n fr/n, ///GG Stat • e �� Zip Code O ii Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"tl Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election YearAmendment Termination (MM/DD/YYYY) (9^/7 Report Report Summary of Receipts and From Date To Date / For Office Use Only Expenditures /:/.2//7 /a/7/ /7 A.Amount Brought Forward FrostReport $ B.Total Monetary Contributions and Receipts $ _ C") o (From Schedule I) 4 •- C_ _ C.Total Funds Available $ .' "' • (Sum of Lines A and 8) —e--- rZ-i r rn ` D.Total Expenditures $ r— (From c-) (From Schedule III) 6 a 00 z -r- E.Ending Cash Balance $ Q (Subtract Line D from Line C) I C--) Z F.Value of In-Kind Contributions Received $ C„) (From Schedule II) f5.3N G.Unpaid Debts and Obligations $ C.)(From Schedule IV) -0` Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,Is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this day of 20 Signature of Person Submitting report . Signature Printed Name My Commission expires • 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 belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. • Sworn togd subscribed before me this .»m ..,.. Ai day of� (Pm bei 20 / . ,"1: 11"" ect �rSi u e. C. dicta C �� C`Signature Printed Name • My Commission expires — I J of 7/ 7 4 75- - 3 al y MO. DAY YR. Area Code Daytime Telephone Number Cuiriuionweaitn of Pennsylvania • Notarial Seal LECRETIA HARING-Notary Public CAMP HILL @ORO,CUMBERLAND COUNTY My Commltglen Expires dun 7,2021 • 6.2) SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/WW] $ 46/cr 4g7 /i _T /6 ///m7 I aha — House# Street Address Descri ion.bf Expenditure ' A250 arhet" Si- 6P/P16)-5-6) City State Zip ,�,f�rto/iu p/9- Code /70 Y3 ryi/az CLQ i� To Whom Paid Date[MM/DD/YYYY] $ House# Street Address .Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code- •To Whom Paid Date[MM/DD/YYYY] $ House It Street Address Description of Expenditure City State Zip Code To.Whom Paid Date.[MM/DD/YYYY].- .$. House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] . $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[IVIM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip • Code...