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CAMPAIGN REPORT
ty of Fort Collins
Full Name of Committee:
(as shown on Committee Registration Form)
Name of Candidate:
I Susan Kirkpatrick for Mayor
I Susan Kirkpatrick
flf not reflected in Committee name)
City, State & Zip Code:
Fort Collins, CO 80528
Name of Financial Institution:
First National Bank
Address of Financial Institution:
I 205
City, State & Zip Code:
West Oak Street , PO Box 578
Fort Collins, CO 80522-0578
Type of Report:
Regularly Scheduled Filing
021 days before election
30 days after election
14 days before election
Annual
Friday before election
March 26 2003
Amended Filing, replacing prior report dated:
Termination Report (Termination Reports MUST Have a Monetary Balance of Zero in Line 5 Below)
Reporting Period Covered:
February 18
, 2003
March 17
Through
date
2003
date
(start with day following end of last reporting period)
(end 2 days before date due)
Reporting For
Current Period
Funds on Hand at Be inning of Re orting Period (monetary)
Total Moneta Contributions (line 10 on worksheet)
Total of Monetary Contributions & Beginnin Amount (line 1+ line 2)
Total Moneta Expenditures (line 18 on worksheet)
Funds on Hand at End of Reporting Period (monetary) (line 3 - line 4)
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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:
Susan K. Radford
-:7
Title:
Name of Person Completing Form
Signature:
Rev: Nov 2000
Registered Agent
Campaign Title
Date:
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960
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