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II /l'f FINANCIAL CAMPAIGN REPORT TO: Elyse Sullivan, Millcreek City Recorder Millcreek,Utah Zip: ,'y7(i9 TOTALS FROM TOTALS FROM CUMULATIVE LAST REPORT THIS REJT REPQRT 1. Total contributions (from Form on page 2) 2. Total campaign expenses (from Form on , ja, , , ,7 page 3) 3.Balanceattheendofthisreportingperiod s 0 s unpaid except as sat f6rth in this report. Date H;)[13-26'i3 Signed ---PAGE BREAK--- ITEMIZED CONTRIBUTION REPORT (FORM ReDcea'iveed i}'jxy Name of Contributor Company Amount rov=S;'a/:[ (If additional space is needed, use blank paper and list information in the above format and file with this report) CONTFIIBUTIONS FORM A ---PAGE BREAK--- ITEMIZED EXPENDITURE REPORT (FORM Date of Person or Organization To Whom Expenditure Expenditure WaSmade PurposeofExpenditure Amount (If additional space is needed, use blank paper and list information in the above format and file with this report) EXPENDITURES FORM B