0 - Dallas County

POBox 12070
rexas Ethics Commission
Austin
Texas
(512) 463-5800
78711-2070
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
3
CANDIDATE I
OFFICEHOLDER
NAME
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NICKNAME
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CANDIDA rEI
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CAMPAIGN
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Date Harld-de!lvered or
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PHONE NUMBER
::'4'1 - t '73S
MSfMRS/MR
TREASURER
NAME
1
USE ONLY
~
MAILING
ADORESS
CODE
C/OH
COVER SHEET PG
SC,FF"
iP080~:PTISU"E#~d- -~
;ORE't
1-800-325-8506
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Mr.
NICKNAME
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FIRST
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REPORT TYPE
AREA CODE
PHONE NUMBER
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----~~-~-D~--~----~--~-~~~-~~-------
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Jan a
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July 15
15
u ry ,
II
30thd
0
8th day before election
'---------I
ay
bat
ore e
lect'
Eon
-- --~- - -t------ --- ---- I
10 PERIOD
Mortth
0'7
COVERED
11'
ELECT10-N
I
I
Day
0
I
ELECTION
Month
Day
··015
I
[]
Exceeded $500 linll!
[]
Final repan (Attach C/OH PR)
Day
""2, I
Year
0'6
DATE~- -T-E-LE=-O=-n--O=-N-'::-y::-P::-E---------------- ----------~-"Year
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[-.J
o
Pnmary
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Runoff
General
QFFlCESOUGHT
o
Special
I-"-kf-f~--,----~---~-------
_________________
•• Direct campaign expenditures are campaign expendit(!res made by others Without the candidate's prior consent or i'lpprova!
Candidates are required 10 disctose this Information only if they receille notlficatlOr! of the (jirecl campaign expenditure ••
~N¢~O~~~~~:E [,,~~-,
15Ihdaya/tercampalgntreaS\Jrer
appo,ntrnent (otficeholmronly)
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14 NOTICE
OF DIRECT
CAMPAIGN
0
Runoff
~ -----~----C-" ----"---------~
Year
I
1"2--0-F-F-IC-E----
------~-------.~------
EXH.:NSION
-
Address I PO Box
--~-- ~------ ~-- -----~--~--~===-----Apt I Suite 11
City
State
Z,p Code
additional pages
I
GOTO PAGE 2
R" ..,sed 061271200e
,~.>
Texas Ethics Commission
PO
80x 12070
Austin
Texas
78711-2070
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
17 NOTICE
FROM
POLITICAL
COMMITTEE(S)
1 ~800-325-8506
(512) 463-5800
C/OH
SHEET PG 2
FORM
COVER
..
This box IS for notice of po!itlcal contributions accepted or political expenditures made by political commlt1ees to support the
candidate J officeholder These expenditures may have been made wlthoullhe candidate's or officeholder's knowledge or consent
Candidates and officeholders are reqUired to report thiS Information only If they receive notice of such expenditures ••
i
I
i
. "-
i-----~---~- -~'·!
COMM-iT-TEE -NAM-E'-··--~-'-~---'~"--""------"-"-~-----'----'"-----.---""-""------
COMMITTEE TYPE
,I
[J
GENERAL
-~~---.--~-~~--
CoMMiTTEE ADDRESS
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$PECIAC
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COM"nEE CAMPAIGN
mEASURER
I
NA"M;CE~--------------------------I
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6MMITTEE CAMPAIGN-iREASIJRERADDRESS
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----,""~-,,-----.----,---"""---------
18--;~NTRI~UTION---t---,---- l; ;:;TlC-;:~-; -ONTR~ ~TIDNS ; ;S; -~R LES -'DTHE-;'-~HAN
TOTAL
TOTALS
I"
'--'['-$---------------.-
PLEDGES. LOANS. OR GUARANTEES OF LOANS) UNLESS ITEMIZED
+------""-------I $ ~ 3~ (). 00
'---2-.---roT AL POLITICAL CON-TRIBUTIONS
!
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
~ZZ~~~NT~I~SG
------I
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
l~- ,;;;c~="","",c",,
0' " ; , , " "
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4.
TOTAL POLITICAL EXPENDITURES
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I
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
j
6
D-~L{~603--.
'6.(rl~1.
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,$
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~~;;~~~I~~I;~~ ~~~~~;I~~ ;~~I~~TSTANDING
_DANS AS OF THE
1$
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F'-----c==c,=:======.::===,:.::==-::-======,=.::_=--~--..L.:'-,= ------==
19 AFFIDAVIT
! swear, or affirm, under penalty of perjury, that the accompanying report
1,
"'"
""""~""
.:-~~W(A.
is true and correct and inciudes all information required to be reported by
me under Title 15, Election Code.
SHERRI STOEL
1i!{:f;~{~J NO~;C~~~~;i~~eE~~~::as
,~:=-""
AFFIX NOTARY STAMP
//7
-7/1
- -#7) - //
--~~~~;~fr--
April 15.2012
I
Sworn to and subscribed before me. by the said
I
9Cjll/\ULLf,.y ~~'- . 20
(:=1~Q-G\A
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SEAL ABOVE
til
,
1)1(CLVI [1 e
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this the
i2
day
I
to certify which, witness my hand and sear of office.
c.\o..Q____._~_ SI1et:vi
Signature of officer administering oath
SJ-cel __~ _______II)i)I-ayu M;ll:;\i C-'<I _ _ __
Printed name of officer administering oath
Title of Officeradministering oath
-
Rev,"ed 0612712008
Texas Ethics Commission
POBox 12070
Austin
Texas
78711-2070
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
4
5
Date
6
SCHEDULE
!
i 7
Amount of
contribution ($)
Full name of contributor
Contributor address
City;
i
8
A
In-kind contribution
description (If applicable)
I
I
I
Zip Code
State,
1-800-325-8506
(512) 463-5800
(If travel outside of Texas, complete Schedule T)
9
Employer (See InslrucIJons)
Principal occupation I Job title (See Instructions)
Date
Full name of contributor
Contnbutor address,
o o\lr-of-state
City;
State;
Full name of contnbutor
Contnbutor address;
0
City;
I
I
In-kind contribution
description (if applicable)
I
I
I
Zip Code
/If travel outside of Texas, complete Schedule
Employer (See Instructions)
Principal occupation I Job title (See Instructions)
Date
Amount of
contnbutlon ($)
PAC (ID#· _ _ _ _ _ _ ""_-----------..J
O\~"of·ffiatePAC
State;
(10# ___________ )
Amount of \
contribution ($)
I
n
I n~kmd contribution
description (if applicable)
I
I
I
Zip Code
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
Date
------r--------
.., - -_.,
I
Full name of contributor
I
Conte)butoc addee",
Employer (See Instructions)
I
.. -"
Amount of
I
contribution ($)
I
City;
State;
I
I
Zip Code
I
I
(If travel outside of Texas, complete Schedule
Pnnclpal occupation I Job title (See Instructions)
~'ci Ou!-Of-S~lePACIID#'~ ____________ J ~ 1-~o~~~~~~nOf($)
r--'
:
I
Contributor address:
City;
n
Employer (See Instructions)
I
Full name of contributor
Date
In-kind contribution
descnption (if applicable)
State,
".
In-kind contribution
description (if applicable)
Zip Code
!
I
I
I
Princrpal occupation I Job title (See Instructions)
I
I
If travel outside of Texas, complete Schedule
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS FORMAS NEEDED
If contributor is out-af-state PAC, please see instruction guide foradditional reporting requirements.
n
Mrs. Maurine Dickey
Mrs. Maurine Dickey
January 15, 2009
Contributor
Address
Kenneth H., Randy, Sue or Justin Fosha
Northwood Republican Women
Richardson Republican Women
Health PAC Dallas County Medical Society
1454 County Road 219, Granby, CO 80446-0147
Total Schedule A-1
---_._---
Page 1
Schedule A-1
-----_ .....
NA
215 Long Canyon Ct., Richardson, TX 75080
PO Box 4680, Dallas, TX 75208
-
-----
Schedule A-1
07/01/08 - 12/31/08
Contri. Amt
Date
$680.00
$500.00
$200.00
$1,000.00
7/23/08
912/08
10122/08
12/1/08
$2,380.00
PO
Texas Fthics Commission
Box 12070
Austin
fexas
78711-2070
(512) 463-5800
LOANS
-
-=-~ -=-~c:
-- --
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-- - - - - -
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6
Is lender a
financlallnstitlltion?
Y
{;
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t.G
(
e(
ACCOUNT # (EthicS CDmmrSS,on fliElfS)
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o OU1-oHtate PAC (10# _ _ _ _ _ _ _ _ _ _
7
Name of lender
8
Lender address;
City;
~)
I
9
Loan Amount (S)
~O-'ote"" ,,;;;~-
Zip Code
State;
-------~-----
1$
---
1f---.--"-------"~'11 Maturity date
,
N
l
C '\
13M---------~------~----
TOTAL OF UN ITEMIZED LOANS:
Date of loan
a
7o!a! pages Schedule E
4
5
-----
--~~~---
3
.,'-- "-----,,-"
*
1----- --=-=-=--=-=::-- -==-==
--
-~-
FILER NAME
'Mrs
E
SCHEDULE
The Instruction GUIde explains how to complete thIs form
2
1-800-325-8506
-----
il
I
12 Pnncipal occupalion I Job title (See Instructions)
13 Employer (See Instructions)
14 Descnption of Collateral
0
none
11
Name of guarantor
15 GUARANTOR
1 16
INFORMATION II
B Amount Guaranteed {$)
I
I
I 17
II
not applicable
0
--
Guarantor address:
City;
""
-
I
J
19 Pnnclpal occupation
-
Zip Code
State;
...,..
-
-
"~'T"-
DateD/ loan
Name of lender
o out"of-St81e PAC (1011
'"~-".
---,-
_...
,1
~
IS lender a
finanCial Institution?
y
-
20 Employer
Lender address:
City:
State:
Zip Code
)
r
-
~
-,-
Loan Amount ($)
l~~o.
I
M"""y d"e
N
i
Pnncipal occupation I Job title (See Instructions)
--
Employer (See instructions)
I
DeSCription of Collateral
0
[lone
GUARANTOR ,
INFORMATION
0
no' appll/::aDJe
!--Principal Occupation
I
:
Name of guar'antor
Amount Guaranteed {$)
I
I
I,
Guarantor address:
City:
State,
Zip Code
----r
i
.. _-
Employer
A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
It lender is out-at-state PAC, please see instruction guide for additional reporting requirements.
Rev,sed 0612 712008
Mrs. Maurine Dickey
Mrs. Maurine Dickey.
Schedule E-1
'Date
Guarantor
Address
Schedule E-1
07/01/08 - 12/31/08
Amount
11/13/08
Roland Dickey
4514 Cole Avenue, #1100, Dallas, TX 75205
$8,000.00
Total Schedule E-1
January 15, 2009
Page 1
$8,000.00
-
PO
fexas Ethics Commission
Austin
Box 12070
Texas
78711-2070
(512) 463-5800
1-800-325-8506
SCHEDULE F
POLITICAL EXPENDITURES
(\+I
~==:=--====-~-====----====-===:---==:=:==-~--~---------------~-~-
~TO'"
The Instruction Guida explains how to complete this form,
-2
FILER NAME
IN\rs
4
8
,
----~,--.--,,"---,,---,,-""---------."----------'-----~---
MCH\
Date
Dt~blj
,r;n <t..
f I _ S.e e
p'ge, Sohedo'e F
Payee name
6
Payee address;
City,
State',
VI .:.{d
---
-----~-- -+--------------~---ACCOUNT. ,"h,,, CO~"'''h ''',,,'
13
7
5
{A.C
----=
Amount
($)
ZIP Code
9
Purpose of payment {See Instructions regarding type of information
required.}
•• Complete if direct expenditure to benefit CIOH
Cand,date I Officeholder name
Office sought
..
Office held
1
I
(If travel outsIde of Texas, complete Schedule T)
-
Date
--
-r---Payee name-
Payee address;
City;
State;
-
r
-
Amount
($)
--
--
I
Zip Code
I
I
Purpose of payment (See instructions regarding type of information
required.)
I
•• Complete If direct expenditure to benefit CIOH ••
Candidate I Olficeholder name
Office sought
Office held
(If travel outside of Texas, complete Schedule T)
Payee name
Date
Amount
($)
Payee address',
City;
State;
Zip Code
Purpose of payment (See Instructions regarding type of II1fonnation
required.)
-Date
-Payee name
Payee address;
Oty;
•• Complete If direct expenditure to benefit CIOH .,
Cand,date I Officeholder name
Office sought
1
(If travel outside of Texas, complete Schedule T}
-
I
I
State;
I
Zip Code
Office held
.-"
Amount
($)
I
i
I
Purpose of payment (See Instructions regarding type of infonTlation
required.)
•• Complete If direct expenditure to benefit CIOH
Candidate (Officeholder name
Ottica wught
..
Office held
(If travel outside of Texas, complete Schedule T)
A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Re-VI$'H:I 061;:>712008
Mrs. Maurine Dickey
Schedule F-1
Page 1
07/01/08 - 12/31/08
Payee Name
711/2008 Eagle Postal
7/1/2008 Costco
7/1/2008 The Home Depot
7/1/2008 Wal-mart
7/1/2008 Costco
7/1/2008 Wal-mart
7/1/2008 Minyard
7/1/2008 Greater Dallas Planning Council
7/7/2008 Ted Poe for Congress
7/8/2008 Congressman Jeb Hensarling
7/15/2008 Michelle Frazier
7/18/2008 Costco
7/18/2008 Kroger
7/18/2008 Kroger
7/18/2008 Kroger
7/18/2008 Kroger
7/18/2008 Costco
7/18/2008 Minyard
8/1/2008 Eagle Postal
8/11/2008 Friends of Jane Nelson
8/20/2008 Kroger
8/20/2008 Costco
8/20/2008 Wal-mart
8/20/2008 Office Depot
8/20/2008 Randalls Store
9/1/2008 Eagle Postal
9/18/2008 The Senior Source
9118/2008 North Texas Commission
9/1812008 GDHCC
9/18/2008 Metrocrest Chamber of Commerce
10/1/2008 Eagle Postal
10/20/2008 Lake Highlands Republican Women
10/27/2008 Marilyn Smith
10/27/2008 The Chris Harris Campaign
10/28/2008 Joanna Windham
Date
Payee Address
3109 Knox Street, Dallas, TX 75205
851 S. Highway 121, Lewisville, TX 75067
8555 Home Depot Drive, Irving TX
1635 Market Place Blvd., Irving TX
851 S. Highw~121, Lewisville, TX 75067
1635 Market Place Blvd., Irving TX
10909 Webb Chapel
PO Box 227297, Dallas, TX 75222
PO Box 14222, Humble, TX 77347
PO Box 820504, Dallas, TX 75382
917 Miranda Drive, MesqUite, TX 75149
851 S. Highway 121, Lewisville, TX 75067
7505 E. MacArthur Blvd.
2770 Valwood
7505 E. MacArthur Blvd.
7505 E. MacArthur Blvd.
851 S. Highway 121, Lewisville, TX 75067
10909 Webb Chapel
3109 Knox Street, Dallas, TX 75205
Grapevine, TX 76051
950 E. Sandy Lake
851 S. Highway 121, Lewisville, TX 75067
Garland, TX
2909 Forest Lane, Dallas, TX
14280 Marsh Lane
3109 Knox Street, Dallas, TX 75205
3910 Harry Hines Blvd., Dallas, TX 75219
8445 Freeport Parkway, Irving, TX 75063
4622 Maple Avenue, #207, Dallas, TX 75219
1204 Metrocrest Dr., Carrollton, TX75006
3109 Knox Street, Dallas, TX 15205
4800 SI. James Ct., Mesquite, TX 75150
NA
1309A W. Abram, Arlington TX 76013
PO Box 190992, Dallas, TX 75219
Amount
$114.00
$56.53
$51.83
$12.21
$63.37
$50.04
$19.68
$125.00
$200.00
$300.00
$100.00
$56.35
$40.34
$11.06
$24.17
$64.15
$36.73
$21.12
$20.00
$100.00
$37.27
$48.29
$34.33
$42.15
$22.63
$20.00
$150.00
$70.00
$150.00
$182.00
$114.00
$15.00
$650.00
$250.00
$300.00
Purpose of Payment
Mailbox rental~st~
Su!,~ies for meeting_
Supplies for meeti'N.
Food for meeting
Sueglies for meeti'N.
Food for meeting
Food for meeti'N.
Membership dues
Contribution
Contribution
Contract Labor
Supplies for meeting
Food for meeting
Food for meeti'N.
Food for meetinJ;L
Food for meeting
Supplies for meetiflg
Food for meeting
MailbOX rental
Contribution
Food for meetinj;L
Supplies for meeting
Food for meetin9_
Supplies for meeti'N.
Food for meeting
Mailbox rental
Luncheon
MembershifJ.
Membership
Membership
Mailbox rental/postage
MembershiE.
Christmas Luncheon
Contribution
Contract Labor
,
J
I
I
I
Mrs. Maurine Dickey
11/3/2008
11/5/2008
11/13/2008
12/15/2008
12/1612008
12/16/2008
12/16/2008
12/16/2008
Schedule F-1
Eagle Postal
Dallas Audio Post Group
KlUV-FM
Eagle Postal
Northwood Republican Women
Metrocrest Republican Club
Park Cities Republican Women
Chris Davis
3109 Knox Street, Dallas, TX 75205
1137 Conveyor lane, Ste. 102, Dallas, TX 75247
PO Box 730224, Dallas, TX 75373
3109 Knox Street, Dallas, TX 75205
5612 Shubert Court, Dallas, TX 75252
1108 Westminister, Richardson, TX 75081
6607 WaQQoner, Dallas, TX 75230
922 Blue lake Circle, Richardson, TX 75080
Page 2
$20.00
$320.00
$8,050.00
$260.16
$30.00
$10.00
$50.00
$72.62
Mailbox rental
Audio Delivery
Radio commercials
Mailbox rentallpostage
Registration
Renewal
Renewal
Supplies for meeting
i
J
Total Schedule F-1
-
~---.--.--
-_ ..
-
- - _ ...
__ ... -
----
$12,365.03
Texas Ethics Commission
POBox 12070
Austin
Texas
7B711~2070
(512) 463-5800
PAYMENT FROM POLITICAL CONTRIBUTIONS
TO A BUSINESS OF CtOH
=cc=,==
~
..
., "-----------
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-----~,---.,,-
----
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SCHEDULE
4
FIL.ER NAME
h\,rs
1
MGlll V' 'V\ e.; ]) ILk <- "\
3
5
BUSllless name
6
Business address;
City;
State;
(If travel outside of Texas, complete Schedule T)
T
I
.,-""-
-
~ ')e,z..
9
-""-""
.r
-,,--
.-
Business name
Business address;
City;
State',
Zip Code
=c
Amount
($)
-
.-
I
__L
.-
--""
•• Complete If direct expenditure to benefit CIOH ••
Candidate I Officeholder name
Office sougl\l
--
-
-
~
~.
--'"
BUSiness name
Business address;
City;
State;
Zip Code
I
Office neld
-
~
Amount
($)
-[
i!
I
-
~~
If
(If travel outside of Texas, complete Schedule T)
f~
Office held
I
I
._--"
Amount
($)
•• Complete If direct expenditure to benefit C/OH ••
Candidate I Officeholder name
Office sougrll
Purpose of payment (See Instructions regarding type of information
required.)
Date
o-tbch e__
I
~----l~
-
..... c:
ACCOUNT # (ElhlcS CommiSSion fliers)
Zip Code
required.)
Date
Hi
J
'.
17
8 Purpose of payment (See Instructions regarding type of Information
=-~-. -
Total pages ScheduleH:
I
l
Dale
H
r='-...:"===='==c=:==c:c====~
The Instruction Guide explains how to complete this form.
2
1-800-325-8506
i
I
Purpose of payment (See instructions regarding type of information
required.)
i
•• Complete If direct expenditure to benefit CIOH ..
Candid ale I Offlcel10lder name
Office sought
Office held
I!
1---
i
(If travel outside of Texas, complete Schedule T)
.
-""
~
Oate
~
-,-"~
--
-
Business name
I
Business address:
City.
State;
r'"
.•.
Amount
($)
Zip Code
I
Purpose of payment (See instructions regarding type of information
required,)
.. Complete If direct expenditure to benefit elOH ..
Candidate I Officellolder name
Office sought
Office held
(If travel outside of Texas, complete Schedule T)
A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Rev>sed 06/2712008
Mrs. Maurine Dickey
Date
Payee Name
8/1/2008 Dickey's Barbecue Pits, Inc.
12/1/2008 Dickey's Barbecue Pits, Inc.
12/15/2008 Dickey's Barbecue Pit Wycliff
Total Schedule H-1
•
Schedule H-1
Payee Address
7770 Forest Lane, Dallas, Texas 75230
7770 Forest Lane, Dallas, Texas 75230
2525 Wycliff, Dallas, TX
Page 1
Amount
$143.59
$1,013.22
$487.03
$1,643.84
07/01/08 -12/31/08
Purpose of Payment
Food for event
Food for event
Food for event