30 Day Post General Termination MunsonRE
CAMPAIGN FINANCIAL DISCLOSURE REPORTCE I VED Rev. i0/07"2
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SUMMARY PAGE
(Please Print or Type)
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CITY Section I OFFIrrz
Name of Candidate o`r Polliilical Committee and Chairperson
Office Sou[p�ht(ifcandidate) Seat (if any)
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city and Zip
Home Phone
o Pone
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Change of address for: Candidate or Political Committee ❑ Political Treasurer
Section II TYPE OF REPORT
This filing is an:� Original ❑ Amendment
This report is for the period fromIQ/l /[3throughA_! i5 /-2-0-13
❑ October 10 Pre -General Report
❑ Annual Report
❑ 7 Day Pre -General Report
Is this a Termination Report: fA Yes (-] No
701
�
\ 30 Day Post -General Report
Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report.
Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column II, Section IV.
I hereby certify that I have received no contributions and have made no expenditures during this reporting period.
Section IV SUMMARY
To reach your Calendar Year to Date figure: Add this report's Column I
figures to the Column ti figures of your previous report (except on line 6).
Line 1: Cash on Hand January 1, This Calendar Year
Line 2: Enter Beginning Cash Balance"
Line 3: Total Contributions (Enter amount from line 5, page 2)
Line 4: Subtotal (Add lines 1, 2 and 3)
Line 5: Total Expenditures (Enter amount from line 11, page 2)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2)
COLUMN
COLUMN II
This Period
Calendar Year
to Date
$ XXXXXX
$ 0.00
$ C)'00
$ XXXXXX
$ •Old
$dam
$ 00
$ 4 ocvB3
$ 0,00
$ O�00—
$.0—
`This same figure should be entered on line 1 of all reports filed this calendar year.
"This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0.
Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand.
Section V
I, je -- .$Polical Treasurer' Wiz.---, hereby certify that the information in this
Na a of ti
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Page 1
Signature of Political Treasurer