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Fridley Citizens for a New City Hall - Report 2 RECEIVCD JAN 0 5 e0S CAMPAIGN FINANCIAL REPORT (All of the information in this report is public information) Name of candidate,committee or corporation Fe.ApLey CL i t .s PDrL A NI C.t i y Office sought or ballot question District Type of Candidate report Period of time covered by report: report Campaign committee report Association or corporation report fromI�to //Si 7 Final report / CONTRIBUTIONS RECEIVED Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type(money a or in-kind)rather than contributor. See note on contribution limits on the back of this form.Use a separate sheet to itemize all contributions cc from a single source that exceeded$100 during the calendar year.This itemization must include name,address,employer or occupation if self-employed,amount and date for these contributions. CASH $ 3�X95,O D TOTAL CASH-ON-HAND $ — IN KIND + $ TOTAL AMOUNT RECEIVED = $ 3 Oil DISBURSEMENTS Include the amount,date and purpose for all disbursements made during the period of time covered by report. Attach additional sheets if necessary. Date Purpose Amount o D�I P�I1JTi i.i (5;TA,1361,4$/O�s E44; *ia74:0.) 1)94'3,90 1113 //to PoS 646.E G1 J0,0S- TOTAL Z 43 c CORPORATE PROJECT EXPENDITURES Corporations must list any media project or corporate message project for which contribution(s)or expenditure(s)total more than$200. Submit a separate report for each project. Attach additional sheets if necessary. Project title or description Date Purpose Name and Address Expenditure or of Recipient Contribution w Amount c z vt TOTAL c Q.) I certify that this is a full and true statement. ?7,94- 1islaSign tura Dat '7 O Printed NameTaiL� �[n t7Z-% Telephone/4,3 -45re,-&VP �JEmail( av arl ) ru./}i Address I d 10 14 a4 i4 41.0AY L,4tsC ) f-i21 c "� / KA iJ "S43 Z Office of the Minnesota Secretary of State—20716 Campaign Manual 69