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M' !W'rstissr< W $>wA sslir /23 [r FINANCIAL CAMPAIGN REPORT TO: Elyse Sullivan, Millcreek City Recorder Name of Candidate: Street Address or Alternate Address: Millcreek, Utah Zip: Phone: Office: t/ -'v-ey.4 TOT ALS FROM TOT ALS FROM LAST REPORT THIS REPORT CUMULATn7E E ORT 1. Total contributtons (from Form on page 2) $ 2. Total campaign expenses (from Form on S o page3) $ o C) 5-0 0 C) 3. Balance at the end of thts reporting period $ $ $ I do hereby certify that,14J%6eJbqf)ny knowledge, all receipts and expenditures have been reported for the period beginn@Q%%al S / ? 6 Z,l and ending and that there are no bills or obligations outstanding and unpaid except as set forth in this report. ---PAGE BREAK--- ITEMIZED CONTRIBUTION REPORT (FORM Date Received Name of Contributor Company Amount ) LU l l f dl.j 07() TOTAL (If additional space is needed, use blank paper and list information in the above format and file with this report) CONTRIBUTIONS FORM A ---PAGE BREAK--- ITEMIZED EXPENDITURE REPORT (FORM Date of Expenditure Person or Organization To Whom Expenditure was made Purpose of Expenditure Amount TOTAL (If additional space is needed, use blank paper and list information in the above format and file with this report) EXPENDITURES FORM B