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CAMPAIGN RE
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City of Fort Collins
CITY CLERK
Full Name of Committee:
I Bowman for City Council
(as shoym on Committee Registration Form)
Name of Candidate:
I Jassen Bowman
(if not reflected in Committee name)
City, State & Zip Code:
3521 Fieldstone Drive , Fort Collins , CO 80525-6108
Name of Financial Institution:
I Home State Bank
Address of Financial Institution:
I 3227 S. Timberline Rd.
City, State & Zip Code:
Fort Collins , CO 80525
Type of Report:
Regularly Scheduled Filing
21 days before election
30 days after election
1 4 days before election
Annual
Friday before election
Amended Filing, replacing prior report dated:
Termination Report (Termination Reports MUST Have a Monetary Balance of Zero in Line 5 Below)
Reporting Period Covered:
Through
January 30 , 2003
March 17 , 2003
date
date
(start with day following end of last reporting period)
(end 2 days before date due)
porti
rrent
nds
and Beg in Ing
Total Monetary Contri butions
Reportin Period
and
End
Reporti
(monetary)
worksheet)
(line
Total Mon etary Contri but ion
Total Monetary Expend itu res (line
Beg
::::.:Q"
Ing Amo
(line
:::.:.../.\\U)U.:::::::::::.:
line
rksheet)
Period
riod
f$$. 94,
u::::::::
(moneta ry) (line
:~2Q:. QQ:
151' 48"
line
I certify to the best of my knowledge and belief this is a true and correct filing. I understand the submission of false
erroneous or incomplete information may be subject to sanctions in accordance with Section 7- 144 of the City Code.
Printed Name:
Signature:
Rev: Nov 2000
~eting
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Title:
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Campaign Title
Fonn
Date:
IIU 103