HomeMy WebLinkAboutFlower, Dawn - 2015 30-Day Post-Primary Commonwealth of Pennsylvania
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CAMPAIGN FINANCE REPORT PAGE 1 OF (COVER PAGE)
(NOTE This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer IdenKfibation ', Report 3.
Number. Rigid t _ _ X
Name of Filing Committee, Candidate er Lobbyist: -
�,
Street A mac
City (
state: " l 21P C
TYPE OF
REPORT
(place X to t> _
the right of 7. YEAR
aw
report type) f
Name of Offices Sought by Candidata a . • • District office Perry County
Jlu�(�
-- - Number Code Coda Code
S 11 �Ll .
(SEE INSTRUCTIONS FOR CODES(
- ._..
Summery of Receipts
and Expenditures from: ► To ���
A. Amount Brought Forward From Last Report $
BL Total Monetary Contributions and Receipts (From Schedule 1) S -
C. Total Ftmds Available (Sum of Lines A and 8) S O
D. Total Expenditures (From Schedule 111) $ •� 07
E Biding Cash Balance ISubtract Line D from Line C) 8 0
F. Value of in—Kind Contributions Received (From Schedule 10 $ _
11. Unpaid Debts and Obligations (From Schedule M 8
ArFIDAVIT SEMON
EEO
I swear for affirm) that this report, including the attached schadules, on paper or computer diskette, we to the beat of my armwledge and belief true,
correct and eorrgdetw
Svom w and subscribed before are this
—� day of �, A (�' 20 CJ
—�- ei- ` grmturd of Person Submitting Report
J �F —l: �e f �i t DAtroA) �. riZ) ick
non, PE
1(N$'gigl rre Primed Name
M(} NOT
AR SEAL '717 _�'t��'- ,�
y corrrmiss t
Notary P961ic AY YR. Arae Cada Opm RirTelephone Number
I swear (or affirm) that to the best of thy k w ledgo and belie' this politiml committee, has hot violated any provisions of the Act of June 3, 1937
(P.L. 1333, No. 320) as amended.
Swom to and subscribed before me this
day Of 20_
Signature of Candidate
Signature Primed Name
My commission expires
MO. DAY Yfl, Area Code Daytime Telephone Number
OSEe-502 C7-99)
SCHEDULE 11 PAGE OF
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name of Piling Committee or Candidate Reporting Period
l �.1y
From f To E7
TOTAL for the Reporting Period (t)
TOTAL for the Reporting Period (2) $ �?
V4 =.ice OWM Mir I
TOTAL for the Reporting Period (3) $
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2,
and 3; also enter on Page 1 , Report Cover Page, Item F.)
DSE6-602 (7-9%
• SCHEDULE ill PAGE OF
STATEMENT QF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
7bato-vt From To
To Whom Paid Mt zz
Mailing Address Description of Expenditure
e) 4, o d
Cny State Zip Cade IPlua N
? 1 U �,
To Amount
Q 1
r-4, C9
Mailing Address /. iptian of naitura (
2APIC .ECCE f^
rty State Zip Code (Plus 4)
To Whom aitl Arno t Mailingrasa (",/,
aription W Expenditure
l �u r
C tyn St Zip Coda Plua 41
/11�I
To Whom Paid AW Amount
14 -TL
Malting Address Destription Of Expenditure
C ty state Zip Code Plus 4)
To Whom Paid
Mailing Address Description of Expenditure
qty ' State Zip Code plus M
To Whom Paid n
Mailing Address Description of Expenditure
ttY State Zip Code Plus 4)
To Whom PaidEel 21 moun
Matting Address oascription of Expenditure
qty State Zip Code (Plus 4)
To Whom Paid Amount
Moiling Address Description of Expenditure
city State Zip Code (Plus 4)
PAGE TOTAL
s'
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ C�/
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