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CLERK
CITY
SUMMARY
DETAILED
REPORT OF CONTRIBUTIONS AND EXPENDITURES
(To be used by Candidate Committees. Political Committees, Issue Committees and Political Party Committees)
OR OFFICE USE ONLY
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2. NAME OF FINANCIAL INSTITUTION
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ADDRESS 0 check if different than previously reported
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4. Did you
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STATE and zrr
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3. SECRETARY OF STATE I.D. Nmv1BER
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accept Voluntary Spending Limits? (State Candidate Committees Only)
DYes
DNo
5. TYPE OF REPORT (County and Municipal Elections)
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Pre-election Reports
Post-election Reports
21 days before election (l0/12/99)
30 days after election (12/2/99)
Al1I1ual (November 1 of each year)
14 days before election (l 0/19/99)
(City of Fort Collins only)
Friday before election (10/29/99)
0 Other (specify)
0 Termination Report
6. REPORTING PERIOD COVERED
THRU
DYes
Is this report an Amendment?
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COLUMN A
DNo
COLUMN B
This Rept. Period
Calendar Year-Ie-Date
1 \:)
FUNDS ON HAND AT BEGINNING OF REPORTING PERIOD
XXXXXXXXXXX
TOTAL CONTRIBUTIONS (from Line 16)
(J)
TOTAL EXPENDITURES (from Line 21)
AT CLOSE OF REPORTING PERIOD
10.
FUNDS
11.
Debt and Obli~ations Owed BY the Committee
ON HAND
XXXXXXXXXX
XXXXXXXXXX
45- ,
12. Pled es Owed TO the CommIttee
XXXXXXXXXX
I certify that I have examined this Report of Contributions and Expenditures and to the best of my know led d b ief it is true, correct and complete. I understand
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(SUMMARY SHEET - REV 12/91)
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FILE IN DUPLICATE
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