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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 121 (Mark X)
Name of Filing Committee,Candidate or j // }}��
Lobbyist �'Q.h ct / (2/y Q yq z e i_140.1 W D_e t" d G r^Ct f:
Street Address ?04 r yS
o G 4 lJr.
City , State Zip Code
N---eGfahres/sus^ P� l7c > s
Type of Report(Place x under report type)
1-6` Tuesday 2- 2" Friday 3-30 Day Post 4-6'1Tuesday S-2nd Friday 6-30 Day Post 7-Annual Special 2 Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
0 E]
Date Of Election Year Amendment Termination
(MM/DD/YYYY) i#3 ;to 15- Report Report ❑
Summary of Receipts and. From Date To Date For Office Use Only
Expenditures
/'-/3///y /019 /S-
A.Amount Brought Forward From Last Report $
�l18,/3
B.Total Monetary Contributions and Receipts $ p ,
(From Schedule I)
C.Total Funds Available $ o
(Sum of Lines A and B) p .i 8.0 a9
t37
D.Total Expenditures $ M C-)(From Schedule 111) 354.-7/v r—
E.Ending Cash Balance $ 1`13
C:)
(Subtract Line D from Line C) 'fB5.7d
f3
F.Value of In-Kind Contributions Received _
(From Schedule 11) d --
G.Unpaid Debts and Obligations $ C
(From Schedule IV)
O
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.
5 orny^ subscribed before me this
da
f lJlt
day of-
20�_
' 11L, I BARA /�rW fPej;on 5ub�(ying r8 A I /V
Cowl OF PEFt11S WAWIA f Printed/Neamee /K l3 L/
My mmisssion exppir44TAR'AL SEAL�� (]/7)1097 ��
BETHANAfl A-D Y YR Area Code Daytime Telephone Number
Notary Public AND CNTY
PartI-If t (ILd ods AptNd zed mittee,candidate shall sign here.
I sw r or a e ge an 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 subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
• SCHEDULE III
Statement of Expenditures
Flier IdentlficMion Number: /��/yY•
vz 1r. l.."ohs: C U!M F✓�r��il ,//e vYi CC 4 c91<,5
To Whom Paid �l / /Y „�� Date[M /DD/YYYYJ $ ,
( l !G// / . 1. elol GY/> /
I l/N her � (.i^crN � /�^ m � C�Cr.CrO
�3��c�i S'
House# Street Address Description of Expenditure
�t/rsf �au�/,ev .S�.
city. Z State:. Zip kit,
CGvlisle FA code /�0 /3 13111Y-
To Whom Paid >� ��� , Date[MM/DD/YYYY]777
)
House# Street Address Description of Expenditure o'fL' M/,/�rr 1�0�
City / / State- :Zip --�
M- 1 b J / A Code 177e61 �o, / eanrvnh/ cn« o�f
?rS N✓'C
To Whom paid �•� Date[MM/DD/YYYY]. $:
JaN-rzs ��rl�rr'f /li�t .� k
House# Street Address �Q/ Description of Expenditure
rrf,1'ey
City State: Zi
p P re , ,",-, G«�, , �- duh/ !�r Dai
M1P�/IG'l7i Ci wcl r�' / Lode 170SS <
/ ,�-r/-'Pi%ci CLU.;7+'r� icdc
To Whom Paid .�ti � M E D f,�. 1'f e l r-c Date[MM/DD/YYYY]'.. $
fi[. 7�K7 " GZ/
House# Street Address A Description of Expenditure
17
. ipCity Cod
Code !"70i5 Cciw"l F'4 /Jam Cc.afr, bc• tic^��
To Whom Paid Date[MM/DD/YYYY] - $'
I
ouse# Street Address Description ofExpenditure. .
itystate Zip
Code
To Whom Paid Date:[MM/DD/"TY].: $,
I
ouse# Street Address Description of.Expenditure
ity: State. ':Zip
{ode
To Whom Paid Date[MM/DD/YYYY]
ouse# Street Address Description:of Expenditure
IH
ity... State. zip
p
Code
To Whom Paid: Date[MM/DD/YYYY)
House# Street Address Description of Expenditure
City State ,.Zip,'
Code.
SCHEDULE I PAGE 2 OF
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee orI Candidate Reporting Period
"It
C Ll ✓h ba✓lQN d Pev7ic( k,eJ5 From /a-3i /`f To /C /9 /5
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50:00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $
2.' CONTRIBUTIONS $51101'TO $250.00 WROM.PART AI AND PART Sj r
Contributions Received from Political Committees (Part A) $
All Other Contributions (Part B) $
TOTAL for the Reporting Period (2) $
1. CONTRIBUTIONS OVER'$250.00-(FROM PART C AND PART-D)
Contributions Received from Political Committees (Part C) $
All Other Contributions (Part D) $
TOTAL for the Reporting Period (3) $
d, OTHER RECEIPTS REFUNDS, INTEREST EARNED, R_ETURNED.. CHECKS.: ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (add and enter amount totals from $ y'
Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report
cover Page. )tem B.)
OSES-502 (7-99)