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CANDI DATE COMMI TT

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DATE

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o f t h e i a s t r e p o r t i n g p e r i o d , o r mu st b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , . $ G7" U -vc "

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Sc h e d u l e F : L oan s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . , . . , . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . , . . .

Sc h e d u l e H : T o t a l Sa l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . .

( Sc h e d ul e H ap p l i e s t o Ca nd i d a t e s ' Co mmi t t e e s On l y )

SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI OD ~7

Sc h e d u l e B : Ex p e nd i t u r e s t o t a l ( A t t a c h Sc h e d u l e B) ( " a l s o s e e d e bt s an d l o an s b e l o w) . . . l J _

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be z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 . . . . . . . . . . . . . . . . . . . , . . . , . $

~UNPAI O BI LLS ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . . , . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . _ . . . . . . . . . . . . . . $ l C? Sr ? - t a 7 /

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" OUTSTANDI NGLOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

CAND I DATE COMMI TTEES ONLY :

CONSULTANT BREAKDOWN ( Sc h e du l e G A t t ac h e d ?) YES NO

VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H)

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c o mmi t t e e . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u l n l t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y

m a r r i a g e ) . I f s u r n a m e o f c o n t r i b u t o r i s t h a t a me a s c a n d i d a t e . b u t t h o r e i y n o

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