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HomeMy WebLinkAboutPatriots for Scott Perry - 2018 2nd Friday Pre-Election II II Reset Form Print Form ' Commonwealth of Pennsylvania-Campaign Rnance Report (Note:'Misreport must be dear and legible.It should be typed) Fier Identification n Report Fled B . Candidate Committee Lobbyist '— Number . t n v'a'1, I (Mark)Q Name of Fling Committee,Candidate or ,p1 ,1v b bor t Street Address ,? b fyv (.),).3aty . ,�_ , ('_I -. 1Wv ( 4*I„,�1V sate ?4, by Codee t R-D Type of Fbport(Race x under report type) 1-6th Tuesday 2- 2°d Friday 3-30 Day Post 4-6'h TueY 5-2"d Friday 6-30 Day Post 7-Annual B3edal 2'"'Friday *ectal 30 Day Pre-Primary Pre-Primary Primary Pre-Bedion Pre-Section Election Pre-Rection Post-Bedion Date Of BedionI �A Year Amendment Termination (M M/DD/YYYY) l i (V( -o t% Report Report Summary of Receipts and From Date To Date^ . For Office Use Only Expenditures lA(IA lb(P� )t.l b • A.Amount Brough Forward From LastReport• $ 6•Total Monetary Contributionsand Receipts- $ rr Do (From Schedule l) • 09-1 1A70•(0q- C Total FundsAvallable $ l� t:i... t (Sim ofLinesAand� log t g D.Total Ecenditures $ (From ghedule61) S`/a6 -Wt, 44*1/4 c E EndingCdsh Balance , _ $ �,/ lirikill. -1-. (3tbtrad line D from line C). t'7/t.•It o F.-Value of in-hind Contributions Received $ p (From 9:hedule II) 0• VI, a Unpaid Debts and Obligations $ (From siteduleIV) . - • G.(Ib Affidavit action Part 1-If this is a Committee report,treasurer sgn here.If this is a Candidate re.:-• candidate sgn here. I swear(or affirm)that this report,induding the attached s eduleson p-•:et) :be of my know) and belief true,correct and complete. Sworn to and subscribed before me this �c9p\‘o y�day of -.— 20�� �s`t a\4o)�c,.;?\ V 1 %NW otQe\,C , KO VeG e1 a 9gnatfif r 9Igyeport Sgnature 6o��o0.O�G fie.• Q\(e• y,1° Minted Name ��//g My Commission expires \2 \ GL,,�\„R`SS%,\-\Jt� 1,tl 1 "ffd MO. DA ��Yp,00�� ' Area Code Dayt i me Tel ephone Number G Part II-If this is a report of a Candidate'sAut • i •Committee,candidate shall: here. I swear(or affirm)that to the best of my know edge and belief this political•• *see as not violated✓ •rovisons• the Act of Jane 3,1937(P.L 1333,NO.320)as amended. a°9 Jq." Shorn to and subs ribed before me this Ste`' ale c9:\ / _ day of - 20�� Qv�S\. �o• c. it‘.06 f• 'SII .'',7/P1/ • " \moo-S9' 4\ana..eSG Lf. 6 / t reof r.,s ..te 4. Sgnature a O\' (I �e RYnt=.Name MyOommissionexpires\1- 21 /...-N God 6vy 1 7)11, t 33 MO. DAY N..\:\ Gov. Area Code Daytime Telephone Number 0 9CH®ULE I I I Statement of Expenditures Flier Identification Number: Vhi lith . To Whom PaidDate[MM/DD/MY] $ ox 114 bst to.,P,'(`K 661[ sa.YX Hou Street Address Description of Scpenditure Qty State. bp Code To Whom Paid Date[MM/DD YYYYJ $ ilk 4o9 hU 4putC S 8(,23(t1 _ House# l Street Address 4 Description of Egendfture Qty �� _ Sate �� �� VLLO ( l i�►4C 1'16�Lt (l2�. To Whom Paid Lf/# Date[1lM/DOW WYYJ $ �rvi eitURS (f\l a, PKC �g SLI Haim - HoStreet Address) Desxipt on of Bgpenditure Qty 1 State bp .. �l lf� lode 0.640 7 W To Whom Paid qw Date[MM/DD/YYYYJ $ Lo(�v t(.ct 20o^ House# &reef Address Description of Ependiture Qty State by . 140rl/ Code To Whom Paid Date[MM/DO/WYYJ $ House# Rivet Address Desription of Ecpenditure -- Qty Sate 21P Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Addres1 Description of Bcpenditure City. State Zip Code To Whom Paid Date[MM/DO/WYYJ $ House# Street Address Description of B penditure City f l Sate bp Code To Whom Paid' Date[MM/DW WYYJ $ House# Street Address Description of E pettditure Qty •State bp Gode: "