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COMMONWEALTH
OF
PENNSYLVANIA
CAMPAIGN FINANCE
STATEMENT
Fife
this
in
lieu
of a
full
report
only
if
aggregate
receipts,
expenditures,
orliabilities
incurred
each
did not
exceed
£250.00
during
the
reporting
period.
2ND
FRIDAY
PRE-ELECTI
30 DAY
POST-=LSCTi
TOTAL
AMOUNT
OF
FILER
S
OUTSTANDING
DEBTS
OR
LIABILITIES
AT
THE
END OF
REPORTING
PERIOD:
AFHDAVJT
SECUOS
PART
I -
If
statement
is
filed
onbehalfof a Political Committee orCandidates'sCommittee,the
Treasurer
must
sign
here.
If
statement is
filed
on behalf of
s
Candidate,
the
Candidate
must sign here.
If
statement is
filed
on
behalf
of
a
Contributing
Lobbyist,
the Lobbyist must sign here.
f
SWEAT
(OR
AFFIRM/
'(—
~"
DAY
,/
MY
COVWSIC
=ART
!l -
THAT
TH3
AGGREGATE
RECE
PTE
OR
D.S3URSEMENTS
OR
UA
3
OF
.'i.'-*
-
•-
20^
{
'Commonwealth
of
Pennsylvania
;
asN0f
 ARIAL
SEAL
M
EXPiR|^pija
T
.Farher
Noarv
Pubic
City
of
BetKlehem,
NorthamptonCounty
My commission
expires
August
9,
2009
JT,E5
rKCL'WED
D.r,.:.3
Tr=
--^TING
rrRI^TOTED
ABOVE
DID
fJOT
f^^
.
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i.
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SiGNATaRS
OF
PtRSON
S13BM1ll~ING,RtPOST
'
PRlK
T
cD NAMEARcA
CODE
DAYTIMc
1
ELEPHOM^
NUMBER
If
statement
is
filed
on
behalf
of a
Candidate's
Authorized Committee.
Candidate
must
sign
here.
 
Commonwealth of
Pennsylvania
CAMPAIGN
FINANCE
(COVER
PAGE)
Filer
identificstiof
Number:
NameoJ
Filing
Comrr
Friend.
City:
^n
lit
TYPE
OFREPORT
(place
X to
the
right
of
report
type)
[WorftomA
^
^Hed'ay
^
CANDIDATE COMMITTEE
i)/
LOBBYIST
ttea.
Candidate
or
Lobbyist:
A
.
f
r
QtL
UXmtM,
rasQmaJi
Jenuiaxtf
I
6TH TUESDAY.
|
1-
: PRE-ELECTION j
.A&WUAL
|
7
-
•
REPORT
j
fern
County
C
i
Summary
of
Receipts
ffc^
-
and
Expenditures
from:
P
*)
A.
Amount
Brough
B.
Total Monetary
^rlup
State: Zip Code:
'2ND
FRIDAY
'.
PRE-PRiMAF.Y
"
iND
FRIDAY
.
PRE-ELECTiGN
2
'
30
DAY
3
-\/
Ar^SNDf/ig-'v'T
i
POST
PRIMARY
/\
REPORT?
•
POST ELECT
ON_. REPORT?-.
:
~
|te,
YEAR
RUNG
"METHOD
W
.
'\
PAPEH
.,
,-.,"
nisrETfp
W'
(
|
CHECK
ONE
J^V
PAPEH
_-.
-
Dts
.KSTT
ounci)
:
5"
3^0^
ort
Contributions
and
Recsipts
(From
Schedule
1)
C.
Total Funds
Available
(Sum
of
Lines
A
<
0.
Total Expenditu
E.
Ending
Cash Ba
F.
Value
of
In-Kin
G.
Unpaid Debts
ar
es
(From Schedule
11
)
nd B)
ance
(Subtract
Line D
from
Line C)
d
Contributions
Rece
vea
(From
Schedule
11)
d
Obligations
(From
Schedu
e IV)wo. DAY|
YEAR
j/jr-T
1
ftTi-)
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y^?
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iljinf
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^
f
\
0
<5cE
INSTRUCTIONS
FOR
CODES!
P—
;
.
I
-•
.
FOR
•OFFICE
U5""
ONLY
TO
6
r
^CgJ
$
35,j?'9l
s
/>/^<5",^i
5
//
/bo
7yj\
=
0
|
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p
|
§
I
^q;
h
r-n
—
 
?-
—
 
rr
^
;,
- - CO
H
AFFIDAVIT
SECTIOra
PART
I
-
if
this
is s Cornmjttse
rsport
iressurer
signhere.
If
this
is aCandidate
report
candidate sign hers.
NOTARIAL
SEAL
Kaija
iK^Farber.
Nettrv
Publte
City ot Bethlehem,
Northampton
County
My
commission expires
August,?,
2009
£
-- .
.-
-__-_
! - -
-~
|
°~-'*z_
210
North
Office
Building
of Commissions,
Elections snd
Lsgislatio"
Harrisbarg,
PA
17120-0023
t
17171
787-5280
 
SCHEDULE
CONTRIBUTIONS
AMD
Detailed Summary
Page
Name
of
Filing
Committee
or
Csndidste
|l.
:
UNITEMIZED
CONTRIBUTIONS
AND
RECEtPTS
-
$50.00
OR
LESS
PER
CONTRIBUTOR
:
1
TOTAL
for the
Reporting
Period
(11
* (9
2.
CONTRiBUTIONS
$50.01
TO
$230.00
(FROM
PART
A AND
PART
B!
Contributions Received from
Political
Committees
(Part
A)All
Other
Contributions
(Part
B)
TOTAL
for the
Reporting Period
(2)
$$
$
/
___t.
0
/2-S,
OS
2-S.OQ
1.3.
CONTRIBtmONS
OVER
$250.00
{FROM
PART
C
AND
PART
D}
:
1
:
j
Contributions Received from
Political
Committees
(Part
C)
1
| All
Other
Contributions
(Part
D)
TOTAL
for the
Reporting Period
(3)
s
1,000
-00
d
%
1,000-00
14.
OTHER RECEIPTS
-
REFUNDS,INTERESTEARNED, RETURNED CHECKS, ETC. (FROM PART.
El-
:
:
^^
TOTAL
for
the
Reporting
Period (4)
*
6
j
TOTAL
MONETARY CONTRIBUTIONS AND
RECEIPTS
DURING
j
(HIS
REPORTING PERIOD
(Addana
enter-
amount
totals
from
j
Cover
Page,
Item
8.
>
$
/
/C
'j
 
±5
.00
of 00

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