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Summary Statement of Contributions and Expenditures <br />P.I~? type or ,[~rint iesibly in black ink PaSe l of 2 <br />C~nd!date or Politi~l Committ~ Name (u~c full name): <br /> <br />Mailini A~ ~ it A~ on S~t~t of ~fion (s~e~ m~ or box n~, ~, m~, tip c~): <br /> <br />T~'s N~c: ~ Tel~ ~ (~): <br /> <br /> CO~IB~ONS <br /> 1. ~ ~~o~ - · <br /> <br /> (A~i P~ T~I <br /> 3, To~l ~ ~bu~ons <br /> <br /> 5. TOT~ CO~B~IONS <br /> <br /> ~PENDffURE$ <br /> <br /> 8. To~ C~h Expedites <br /> <br /> 12. To~ <br /> <br /> (Acc~ P~ T~ ~ ~ 4A) + ~. . <br /> 14, ~ Received <br /> <br /> 16, Total Expm~s ' <br /> ,,, RECEIVED <br /> (A~o~ e~ To~ ~mPC 4B) + <br /> <br />(A~=~r~=~c~) + ~... OCT 2 0 2004 <br />~,~,,,,+,~+,,~ ' D~q.T CITY RECORD~R <br />20. ~O C~H B~C~ '"' <br /> <br /> <br />