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1 Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By. Candidate Committee Lobbyist
Number (,Mark X) J
NameofFiling Committee,Candidate or Ea —
Lobbyist
Street Address
City _. i State Lam- Zip Code l� ;
L� —
Type of Report(Place x under report type)
[1:-6" Tuesday 2- 2"dFriday 3.30 Day Post 4.6'hTuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2" Friday Special 30 Day
rimary Pre-Primary. Primary Pre-Election Pre-Election Election Pre-Election Post-Election
D(MM/DD/YYYY)ate Of Election.. Vear �— Amendment (�� Termination
r����Gf� i I7E i�j Report L Report
Summary.of Receipts and From Date To Date For Office Use Only 1
Expenditures -..—.--- --.-. -----
r� (.flii ' (v � �uttJ
A.Amount Brought forward From Last Report $
O .
B.Total Monetary Contributions and Receipts '1 $ p
(From Schedule 1) 6•0)
C.Total funds Available $ /l _
(Sum of Lines A and B)
D.Total Expenditures
(From Schedule III)
E.Ending Cash Balance $ _
(Subtract Line D from Line C) i Dq bDo
F.Value of In-Kind Contributions Received s $
(From Schedule 11)
G.Unpaid Debts and Obligations
(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 of knowledge a lief true, orrect and complete.
Sworn tp and subscri`bed before me this
day of 20�
l(tr Signature f son Sub Irp Fyr"ig(�port
s ` r F1 V1(720
NOTARI
F�,e AL SEAL i Printed Name n
M Commission 91 ilgs�qN�YYr�S��Al1YAIRUL0 –711 2 a.'1�i `g
CARLISLE BORO;,CIyAYBERLA1P�yCNTV vR. Area Code Davy-time Telephone Number
Pa e,mittee,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,N0.3201 as
amended.
Sworn to and subscribed before me this
day of 20 I
Signature of Candidate
Signature I Printed Name
My Commission expires
M0. DAY YR. Area Code Daytime Telephone Number
PAGE OF
SCHEDULE 111
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Pernod t� d
From 6100 U Ta W(b
To Wholr,P6,d `!' MD. "DAY ` YEAR"' Amount
l '35 ii� �+�Y' �� 0h I ii") lot bib
Meiling Address Description of Expenditure
X10 & �1Jb kSaltaC_(0i —
city stele zip `ode (Plus 4)
To Whom Paid i' M "DAV YEAH..'!- mount
Meiling Address Description of Expenditure
City State Zip Code IN.. 41
To Whom Paid - MO, ' DAY I YEAR mount
Meiling Address Description of Expenditure
City State Zip `ode (Plus 41
To Whom Paid MD. .aDAYYEAR i.l mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 11i fd;DAY YEAR-r mount
Mailing Address Description of Expenditure -
City state ZI❑ Cada (Plus 61
To Whom Paitl MO. ,;DAY FEAR (; mount
Mailing Address Description or Expenditure
City State Zip Coae (Plus. 4)
To Whom Pald MD. =DAY YEAR,,'RAmount
Mailing Address Description or Expenditure
,ty State Zip Coda (Plug 41
To Whom Paid Mq• =DAY'r �YKvR #. mount
Mailing Address Description of Expenditure
City State Zip Code lPtus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D.
DSEB-502 (7-ee)
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