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  • Harris Schmedlen

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    Rock Quarry
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    STATEMENT OF EXPENDITURES Reporting Period City / To Whom Paid ---:r- Zip Code (Plus 4) To Whom-Paid Mailing Zip Code (plus 4) to Whom-paid Mailing Address I I of Expenditures Enter Grand Total on Page 1, Report Cover Page, item D.

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    STATEMENT OF EXPENDITURES Reporting Period City / To Whom Paid ---:r- Zip Code (Plus 4) To Whom-Paid Mailing Zip Code (plus 4) to Whom-paid Mailing Address I I of Expenditures Enter Grand Total on Page 1, Report Cover Page, item D.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF or read online from Scribd
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    66 views1 page

    Harris Schmedlen

    Uploaded by

    Rock Quarry
    STATEMENT OF EXPENDITURES Reporting Period City / To Whom Paid ---:r- Zip Code (Plus 4) To Whom-Paid Mailing Zip Code (plus 4) to Whom-paid Mailing Address I I of Expenditures Enter Grand Total on Page 1, Report Cover Page, item D.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF or read online from Scribd
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    of 1

    - .

    _----
    - --

    SCHEDULE III

    STATEMENT OF EXPENDITURES

    Reporting Period
    \ )-
    r"::~{'.J\-f' SCi"I... ._\-c),
    \
    <,
    ~.

    :-t
    ~
    1 V~,C From , ,i\ »,
    I j-~~~'
    L"}Li
    . !
    . '-',.r,-
    To " ) -' ,.,J,
    "'.,
    .< \ -'L~"'''"'~
    .' ~

    City /

    To Whom Paid
    ---:r- • ~.
    C-l ;J_'~

    Zip Code (Plus 4)

    To Whom-P-aid
    :;\-- < r-+..:.,.
    Mailing A,ddress

    f r (~i/. ~~\.~
    . 'Si v\. e C;, <.
    Zip Code (Plus 4)

    Zip Code (Plus 4)

    To Whom Paidi \
    \ "L' Jf~, ~ '\' ..-" ,. ,.,.--.~
    V .. /U'- \,~'\ fk:'

    To Whom .Paid
    "~)'!\(", ,L~
    Mailing Addr.ss .
    , \ . ..; [) > '-\'3c:"~

    To Whoro~.?id

    \Jl__"-'<\"-'1::~~~ t '-.~.
    Mailing Address
    ~'~-(-~... '

    City Zip Code (Plus 4)


    .•.

    .L ,-,-'1'"
    '.1""-----;' _.r'" ~-~

    \)Z;L\ 'f C' t)·\r"· \ \/1. {I, ~ \~,·~r


    ~ t ,--..[! -"
    o.•.---,
    - ~ n ~,
    (L-~r\ c} ,'(L,
    i PAGE TOTAL
    Enter Grand Total of Expe~(mures on Page 1, Report Cover Page, item D. s l- L~ ('j: "
    \ .••.• /. J "

    DSEB-502 (7-99)

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