NOTICE OF INDEPENDENT EXPENDITURES IN EXCESS OF $100 Must be filed with City Clerk no later than three (3) business days after obligating funds for expenditure. (City Code §7-139) Name of Person Making Clean Water Action Independent Expenditure: ______________________________________________________ Residence Address: _____________________________________ _____________________ 1536 Wynkoop St. Suite B-400, Denver, CO 80202 Mailing Address: _____________________________________________________________ (303) 405-6755 Telephone No. ________________________ (303) 405-6754 FAX No. ____________________________ [email protected] E-mail Address (optional): ________________________________________________________ Web Site Address (optional): ______________________________________________________ Name of Candidate that the independent Bob Overbeck expenditures are intended to support or oppose_:_____________________________________ Were the independent expenditures used to: Support Oppose Angel Mastagni Mathews Political Strategies Name of Vendor(s) providing property, materials or services: __________________________ 507 North Sylvan Ave., Fort Worth, TX 76111 Address of Vendor(s) named above: _____________________________________________ Detailed Description of the Independent Expenditure(s) (Attach samples if possible) Amount of Expenditure Date Funds Obligated GOTV calls $261.63 4/2/13 4/2 ___________________________________ Signature Date Rev: Nov 2000
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