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CAMPAIGN FINANCE REPORT (COVER PAGE)
• (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification , Report , CANDIDATE 1 COMMITTEE �( LOBBYIST 3
By:
Number: Filed B
Name of Filing Committee, Candidate or Lobbyist:
EStreFR\EN'O g O G -CNkG COoRTuOU se-
Street
et Address:
1 n lv 1po:i cA.Z.-re 2 A E
City. State: Zip Code:
"e W-3 (, ",q 1 'PV., 1.1O2S -
TYPE OF STH TUESDAY 1' 2ND FRIDAY 30 DAY 3' AMENDMENT VES NO
REPORT PRE-PRIMARY PpE-PRIMARY POST PRIMARY REPOflA
STH TUESDAY 4. 2ND FRIDAY 5' 30 DAY S' TERMINATION: YES NO' S'. x
(place X to PRE-ELECTION" - PRE-ELECTION POST ELECTION REPORT)
the right of ANNUAL 7. YEAR FILING METHOD Y,r
report type) REPORT i - ) CHECK ONE !� DISKETTE
Name of Office Sought by Candidate: r r ok District Office i Party County
Number Code I Code Code
MO. ,DAtY, LYEAR
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY .YEA9is
MO. DAY YEM
Summary of Receipts u
and Expenditures from: ► �Z 3� ZO I To
� 3>•
A- Amount Brought Forward From Last Report
r _
B. Total Monetary Contributions and Receipts (From Schedule I) $
C. Total Funds Available (Sum of Lines A and B) S 27 1
D. Total Expenditures (From Schedule III)
g
E. Ending Cash Balance (Subtract Line D from Line C) $ '3Z t :g
� v
F. Value of In Kind Contributions Received (From Schedule 10 $
G. Unpaid Debts and Obligations (From Schedule IV) $ —
AFFIDAVIT a
PART 1 r- If this is a Committee report, treasurer sign here. If this is a Candidate report candidate sign here.
1 swear (or affirm) that this report, including the attached schedules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete.
Sworn t nd subscribed before me this
ay of 201 (o ckaA �n1y), -
d
Signature of Person Submitting Report
'_' 7�IO CHRRLCS E �IA�L
COM TN Of NN Printed Name
MY ommissione,A(A.1•/j"IA EAL �— `-��`•� —IbZ — CoQ (L LD
S HAY Dp, YR. Area Code Daytime Telephone Number
Not FPUWA
PA II 1 9 ndid e's Authorized Committee, candidate shall sign here.
1 swear for 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 subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAY YR. Are. Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 _
DSEB-502 (7-99)
PAGE Z OF—Z—
SCHEDULE
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate n Reporting Period
QAU21 1ArA SC- From - I\A \S To
To Whom PaidMO. "DAV YEAR mount
CVrrgF.2lA�D Ceo.sT`� CTD OFZEPvgttreyJ1 o \� w SOO , O
Mailing Address Description of Expenditure
0 . `S VA q 5-
City State Zip Code (Plus 4)
L%mo-�p \-%'\AA
To Whom Paid MO. 'DAY ,.YEAR - mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. I DAY'- °.YEAR..,JAMount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid - Mo.. -:DAY YEARmount
'.
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid "140. ':DAY '.YEAR mount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid .'MO. j DAY YEAR jAmount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid "'MO. -DAY%1,YEAR Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
To Whom Paid -MO, I DAY, I YEAR JAMount
Mailing Address Description of Expenditure
City State Zip Code (Plus 41
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $
OSEB-502 (7-99)