Form DR-3 : Notice of Dissolution

Date Posted : Form DR-3 Dissolution

7/29/2004 ICFRS 7/98__- Notice
For Office Use Only
ID: 17698
Comm . # 17698
Name: Lon Vogt for Supervisor Committee Indexed
Audited 7/29/2004
Computer
Type: County Candidate - Supervisor
Certified Date of
Status : Dissolution

Address
6488 350th Street

j City, State, Zip

Hartley, IA 51346
(Phone
(712)728-7127 (712)261-3839

7/6/2004
CIICI:LIVU L/dLC UI

Lon L Vogt - -
7/_6/_200_4_
Signature of Treasu_ pate Signed

THIS BOX APPLIES TO CANDIDATE COMMITTEES ONLY :

I, the candidate, certify that my candidate committee's cash balance is zero, all debts, obligations and loans have been paid or
satisfied in accordance with law as shown on my committee's final report and all campaign property and leftover funds have
been distributed in accordance with my committee's last filed Statement of Organization .

Lon L Vogt 7/6/2004

Signature of Candidate Date Signed

Printed using the IECDB Web Reporting System on 09/24/2004 10:58:41

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1514 EAST LOCUST STREET, SUITE 1041 DES MOINES, IA 50309 i (515) 281-402