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Cormack Michael - 891 - Scanned
Cormack Michael - 891 - Scanned
S1GNA URE OF TREASURER (or person filing this report) (%'TE EPHONE DATE S"iGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A J uM ~~/'~ Ij . )-Uh a REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date Indicate one
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
heck if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held
**UNPAID BILLS (From Schedule D - Attach Schedule D) ................ ............ ... ... ....... ...... .. ... .. .. ........$ 0 0U
1
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .......... ... ... ............. .. ....... ........ $ 0,00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ... ............. ............ ........ ..... .. ... .. ...$ Oc C) d
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETARY
VENC17UREE -- MONEY PEW FROM COMMI7TEE .ACCCUNT (Rev. Os/97) EXPENDITURES
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(for Schedule B)