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INDEPENDENT EXPENDITURE NOTIFICATION FORM FOR
CORPORATIONS, LIMITED LIABILITY COMPANIES, AND LABOR ORGANIZATIONS
,Total Amount of Expenditures this Notification: Election Year Filet, ID: Expenditure Status:
Unverified:
Delinquent:
11'Initial Expenditure ❑ Additional Expenditure
Verified:
Full Name of Corporation, 1'..LC, or Labor Organization. (as registered for making independent expenditures)
ti (7
-A -
4,
Address, E-mail Address
City Zip Code Phone Number
Expenditure Date:
Expenditure Amount. j
VendorlPayee Name:
.. ..... .....
Candidate Namc..,,-
A
supports
h
opposes
J, Supports
Y -
i t' kez Elopposes
Communications F] Travel D Professional Services
Communication Type:
El Event Expenses ❑ Overhead 0 Acirninistraiion
0 Event Expenses [I Overhead L] Administration
Dmiscellaneous
OWscellanecus
Please use a description from the list of subcategories provided.
Description of Purchase:
Please use a description from the list of subcategories provided.
-
Description of Oui chase:
Expenditurp Date :
'Expenditure Amount:
Veridor/Payee Name:
A
Candidate Narrie:
J, Supports
Y -
i t' kez Elopposes
El Communications Travel`professional Services
Communication Type:
0 Event Expenses [I Overhead L] Administration
OWscellanecus
Please use a description from the list of subcategories provided.
-
Description of Oui chase:
Ey
--- - -------
N
See other side or attached form for additional excenditures for this notification.
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Ll
A- 0
Date
City of Glendale, July 2010