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t t ment of Contributions <br /> Please type or pnrt leglolF m b ,~:ck ip2. Page <br /> Candidate or Poiit, cal C ~ m ...... e ~,~mc. <br /> <br />~ Or}g~nat ~ ~:r~ma&: 20 ~ ~ ~ General 20 <br />~mendment ~ ~st ?ze-er%t~c~ :~d Pre-eiection <br /> ~, . F¢~F~,C~ USE ONLY <br /> 2!. Beg~¢ming Outst~n&rg Losn~ <br /> (kne 29 of pzev;cus '*open) <br /> 22. Loans Rece:ved (Non-Ex~mot~ <br /> (lbo 2) <br /> 23.emeLcansl4iReceived (Ex:rapt) + ' " ,, ;~ ( :5 * .: ;, '-' ' <br /> <br /> 24. LOANS RECiEITED SU970TAL <br /> <br /> 25. Loan Payments (Non-Exem~; <br /> (hPe 7} <br /> 26. Loan P~.vmcnts 1:' <br /> ( ine 18 } } " <br /> 27. ~org;ven Low~s <br /> + <br /> (Total trams Pn gwct; d a: ,wA 7 ~s ~ccounting period) <br /> ~8. LOAN PAYMENT SUBTOTAL <br /> .fhnes 25 = 25 027) { = <br /> 29. TOTAL OUTST~4Bi);G LOANS } <br /> (~re 24 minus hre 28) ~ = <br /> :=:E~O~%L EXPENDITURE SUMMARY ,. <br /> 30. E;egirning Omstm%dmg F:rsca~ Expenditures { ,. ;: , ,, <br /> (!me 36 oi prcw ~us -e~u~; i / '- <br /> 3 l. Fersonal E~ pendi~es ' <br /> <br /> 32. PERSONAL EXPE?CZ}T%TLE SUBTOTAL <br /> <br /> 33. Personal Expenditure Re~mbrrsements <br /> (Tota~ expeadttures on 5C 5 v, tt~ ?u¢ose code R) <br /> 34. Forgtven ?ersonaI Zxp%,ditz:ss + <br /> (Total personal ,zxp~nditar~s )c; given th:s acctg, period) <br /> 35. gZIMB~S~t IEN ~ <br /> (Iktes 33 + 3t) = <br /> <br /> F~N ~,t;C~gL '~T,QTL3 LT CLOS~ OF ACCOUNTING PERDD , <br /> 37. Ending Cas5 B~b::c~, <br /> <br /> 38, Accounts P, ec~,v¢, l .... -' <br /> (Account~t g Pe~,od To:al Pram PC 5) + ~ ~ '~ ' ' ' <br /> 39. SUBTOTAL <br /> <br /> 40. Total Out'xtandi~g ,..o~os <br /> (h,~c 29) <br /> 4 I. Cutstand53g Personal :=~ "-,.,~,-.-,~. di 'u~es ; <br /> (2rio 36> <br /> 42. Accounts Pas'able }+ <br /> 43. SUBTOTAL f :-': '" ': ' ' <br /> <br /> (hne 39 m:,~us line 43. indicate -~ ct-bo:once) , = <br /> <br /> L.-,~ ~. ~ ~ % L~t (nam~ of candidate or ~'easurer), ;:ereby;ce~J(v that ere above <br /> statement mhd ;he aila&ed suFpmtJng repo~s are mae and co.oct. <br /> <br /> Stgnal~re of cend]date or Veasv~el Date <br /> <br /> <br />