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<br />SEP-12-2005 07:37 PM
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<br />P_02
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<br />. ,.~ ~'::r~_ or p~nt legibly in black ink,
<br />. '.:,l\c' ~~Politica.l Committee Name (use full r1jme): .
<br />..._.__ J c FP 6 .t.:ftv'IKA' f-C/Z- C~( J J I .~,. ./(f'y(..
<br />n~ ,\ddtess as it App~:ar8 on Statement of Organization (street, route or box number city, state, zip code):
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<br />.,;r!.:[':I..;Si.UD.l:~__. . . ._-C - - ~ '__ d~___~ Tcl~pho~~~~.:..~~y):
<br />
<br />Sumnlary Statement of Contributions and Expenditures
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<br />PC I
<br />Rev, 12101
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<br />Page I of2
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<br />I
<br />q If J: _.. .._L
<br />
<br />Summary Stc
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<br />lent of Contributions anI
<br />
<br />:penditures
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<br />'.:.~':.::,:_~!~~~:..Ie~ihly in __bl3Ck ink. Page :z of 2
<br />'." Political Comminee Nam~ --'--J'::;'rn-;;:;Tlt~~~~-'------
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<br />.. ,": -gtfu~~~ 1:'~ Cd~'~~I~;="- OO'h';::~=:=--=___
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<br />.:;.r'~L:~;~. ~::J 'SI Pre-election 02nd Pre-election __~_~..::::.~.:~~:iOTl___._.___~~cPI:.mb:~ Supple~~..
<br />LOAN SUMMARY
<br />.... :;f~"(')ilt5t';;n'dTrig L;';an~
<br />..Ii '~I!l.r;.r;\lldHlZ LORI,s (ron, Plc:vious I'~pon)
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<br />FOH On=ICE USE ONLY
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<br />,'1 ;\l~()lj":r:S'fArw'lNG-LO^NS
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<br />PERSONAL EXPENDITURE SUMMARY
<br />.'- :;;O'.I:C O-\'i'i5iinding Personal Expenditures
<br />. ,.- ,i-\ .)f pr~viol15 report)
<br />'. :T-Tsol:al Expendirutes
<br />. ........;j,,!(: l'elimi TOUlI fmm PC: 3A)
<br />",: ;::~":JACTIXPENffi'flJRESUBTOT AL
<br />. . I': , 3 I )
<br />..::'F:si)i'iiii E~xpencJrr\l;e Reimbursements
<br />:..i ,. 'I'''"iilures on J'C :; with purpose code R}
<br />.' l~l'l' ,\.N ("> INGI'ERS( lNAI:EXPENDlTURES
<br />, ':. fIlinus line 33) .
<br />-----FINANCIAL-STATUS AT CLOSE OF ACCOUNTING PERIOD
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<br />".'''l'''~ P"';Qd Tot.nl fi'.:>m PC 5)
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<br />
<br />RECE\\JED
<br />SE? 13 2005
<br />CiTY RECORDER
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<br />-'J . .Or r.. O)t> Ni..../t .. .
<br />- r 'r \ (n<\rnc l)f candidate or tH'::ISU,,~r), I,ereby ccnlty :hat the :wc>vc
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