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N 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 834241240 (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Christopher Delozier
Street Address •
1331 Sconsett Way
City New Cumberland State PA Zip Code 17070
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4 6"'Tuesday 5.td Friday 6-30 Day Post 7 Annual Special 2nd Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 05/21/2019 2019 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
05/06/2019 06/10/2019
A.Amount Brought Forward From Last Report $ 0
C)
a
B.Total Monetary Contributions and Receipts $ .ice
(From Schedule I) 0 al C—.
C.Total Funds Available $ :77
(Sum of Lines A and B) 0 r-"-
D.Total Expenditures $ —.. CA)
(From Schedule III) 53.10 a
2a
E.Ending Cash Balance $ 0 O =
(Subtract Line 0 from Line C) C ,p
F.Value of In-Kind Contributions Received $
(From Schedule II) 0 - Q1
G.Unpaid Debts and Obligations $ 0
(From Schedule IV) -
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• my knowledge and belief true,correct and comple
Sworn to and subsc' d before me this
day of �l 20 . 1� . 1 groat. id it' b
J��[t� . ril ` i g report
Signature ,(�� •rinted Name
My Commission expires yr1Wjfa...—„
MO. DAY YR. -a 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 to and subscibed before me this
+-.1 dayoO . .�! 20 f $rv"' 1 1
%it 1174
y l��`,5�1 /�i�G L ndi¢ate�1.�iLn//G'�
atu all Printed Name /J
My Commission expires L 3 (Jv`° •ii 7 5 7/filo
MO. DAY YR. Area Code Daytime Telephone Number
CnMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Stacy Caslow, Notary Public
Susquehanna Twp., Dauphin County
My Commission Expires Sept. 3, 2019
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
834241240
To Whom Paid Date[MM/DD/YYYY] $
Staples 53.93
0521/2019
House#,128 Street Address s 32nd st Description of Expenditure
City State Zip
Camp Hill PA Code 17011 copy expense of election day handouts
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