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Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE <br />~=ummar,, r)a,.,e Amounts may be rounded Statement covers period .... <br />,o whole dollars, from <br />SEE INSTRUCTIONS ON REVERSE through <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I,D. NUMBER <br /> <br />Column A Column B* Column C <br />Contributions Received ~o,.o.,s.~.~o. <br />(FROM ATTACHED SCHEDULES) (SEE NOTE BEL~) (ADD C~UMNS A + B) <br />1. Monetary Contributions ..................................................... Schedule A, Line 3 $--p~--w/-~ ~ $ <br />2. Loans Received ................................................................. Schedule B, Line 7 ~ ~ ~ ~ <br />3. SUBTOTAL CASH CONTRIBUTIONS .................................. AddLines I+2 $ ~7~ $ <br />4. Non-monetary Contributions ............................................ Schedule C, Line 3 <br />5. SUBTOTAL CONTRIBUTIONS (Exclude EnlorcoablePromises)....... AdOLInos3+ 4 $ 5~70 $ <br />6. Enforceable Promises <br />(Exclude Loa~ Guarantees, Line t8 below) .......................................................... Schedule D, Line 7 <br />7. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 5+ 6 $ 5~?~ $ <br />Expenditures Made //~ <br />8. Cash Payments (Other than Loans Made) .................... Schedule E, Line 5 $ $ ~ $ <br />9. Loans Made ........................................................................ Schedule H, Line 7 <br />,o. ............................................. , <br />11. Accrued Expenses (Unpaid Bills) .................................... Schedule ~ Line 5 <br />12. TOTAL EXPENDITURES MADE .......................................... AodO,os,O+,, $;~~ $ <br />Current Cash Statement <br />13. Beginning Cash Balance .............................. Previeu~ Summary Page, Line ~ 7 $ *¢rom previous Stalement Summary Page, Column C, However, if <br />1 4. Cash Receipts ............................................................. column A, Line 3 above ~ ~ this is the first repod filed for the calendar year, Column B should <br />be blank except for Loans Received (Line 2), Enforceable Promises <br />1 5. Miscellaneous Increases to Cash .................................... Schedule I, Line 4 (Line 6), Loans Made (Line 9), and Acc~ed Expenses (Line 11). <br />Ca. .a,m.n,. .......................................................... , <br />--~ Summary for Candidates in Both June and <br />17. ENDING CASH BALANCE ............. Add Lines 13 + t4 + ~5, then subtract Line t6 $ E.~,.~C .OU,O November Elections <br />II this is a termination statement. Line ~ 7 must be zero. NOT BE A NEGATIVE A~UNT <br />I/1 Ihrough 6~30 7/1 to Dale <br />18. LOAN GUARANTEES RECEIVED ................... ScheduleB. Patti, Co,utah(b) $ 21. Conlributions <br />Received ........... $ <br />Cash Equivalent~ and Outstanding ~obts /~ ~ ~2. ~xp~n~itur,s <br />~ ~. Gash [quival~n~8 .................................................... soo lnstruc~ion* on rovorso $ ~0~ .................. $ <br />20. Outstanding Debts ................................ AddLIne2+Lino ~l in Column C above $ <br /> <br /> <br />