/ -, ?/ ( ,.-,,-,- .. ./' ......, , :" ,','./.' "' ":;.. , '':' (.' ' ,, ' '~:' ,:, ", ' ." 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) )'i~q~' i,, ;i.' a~"~~99; .;i5i:e~~4 ~9. ,':" :l" 3i~ ~1' i'P\r\.A -i&. UAf/I. 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: t/; ~/. 960 .0.:
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