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�_- � Municipal Form u� s�"'�Q "y'°"A'�
� Office ofCampaign and Political Finance • {��'
t'
`"°°,°,""1h RECENED
orMa�se���"„` OWN CLERK
� I�ilewiih: GrvorTmvnClerlorF,IcaionComm�ssion
Fi�� in RepOlTitlg PBliod detes: RE i�`�"�B�sinning Date: .� iR.d� Ending Date: �
Type � Report (Check one)
tli day preceding preliminary � 8th day preceding elution � 30 day aRer election ❑ yearcnd report � dissolution
� � • � �N
Cvndidaie fu0 Fanic�f Ap�lirnblc) Commi��ee Nanie
L �
OOioe Sought mid Dlnnu Name of Commilme Trcazurcr
Resldeniiol Address Commil�ee Mailiny Addrus
TelepLoneNumber(o0��onal)'. �� TClephoneNumber(op0unal)�.
SUMMARY BALANCF, INFOFtMATION:
Linc I: Ending Balance fmm previous report � —d �'
Line 2: Total receipts this period (page 3, line 11) i � �
n�nNarP�ei�vrP.ry���/v /t� �-rl�
Line 3: Subtotal Qiiie 1 plus linc 2) ��
Line 4: Total expenditures this period(page 5, line 14) �/Q' S�
F—1
Line 5: Ending Balanec (liite 3 minus line 4) .(� �'_��
� l / (
Line 6: To[al in-kind contributions this period (page 6) .�- � �
b!D No7'p�2r,�/1'I.Fe.�{- ND !� K(n1D
Line 7: Total (all)outstanding liabiliues( age 7) � Q , •
Arotiarv��r-�� ivo .-.��un�
Line 8: Name of bank(s)used: NO T �I(�((/}�a L�
ARdpvit of CommiVcc Treasiver:
I certify�M1ai I have eraminetl ihfs repon ineWAfng aveched scLedules and it is,m the bes�of my knowledge aid belie[a vuc and wmple�e natwmm of ell eainpaign fnence
aaiviry,including ell wmnbmion�,loans,receipis,expcndiwres,dlsbursementv,inkina conmibulions aid liebilitics for tlus reponing perioJ end representt the wmpaign
fnenec aaivip�of np persons aciing untler the emLority or on bebalf of thls wmmiuee in eoruidanee wiW 0¢requiremwts of M_G.L.a 55.
SlgnednnJcrtnepcnaincsofperjury: (Trouurerssignalure) Date'.�
POR CANDIDATE F1LINGS ONLY: nffaari�orCnnJNatr.�eAeax i box ony�)
CanOidate wilh Commiftrn an�oo aetivify indcpen�ui�of Ihe commitltt
� Iceriif}il ilha e � 'n d�li- p n' I d g n cicdsdetl lesa d i's �otb besiof ipA ouledgeaiJbelef,atmeanA ompleicsmicmentofallcampa f a
ec(vlty fxllp . I' gi d -0 aiilo i �o ibl�lf f� ucc' xcwd� p �le q ' meniofM.G.L. _SS. Ihevenovca'vedanycom 'bi n
- ' aa � IblY . io d �pcnd�i so _ bllfa g�hsrportgp ' a_
CWitlat tl �Co �t RCaJdat �� ' Jpna tacl t�fl'�Csp �e rt
cr(f}tliile e.�a ' d0isreport- lua uuicAscM1eelsedi m�hebes� �Ao �ledge dbffevuadwm0��estatemeilo[eliren�pa�ei
I innce I ry � I d' yeonb 1 . I u eccp expeidi dsb c�nau- � d on�but dl' bliGeafo tl-� pon igpe ' d ndreDrerents Le
campag ( q' -ryofxllp s ti�gitler eauWor'i o i blf tl inLee-iaccodoiec iththereq - aofM_GL. _55.
Signcdundrthcpv�eleceufp �uq�. � (Gndidem'seigiowrq Date.
�Jl:tiL' llULL� 15: N:XY1�:1Vll11�U1CN:J
M.G.L. c 55 requires mnmii((ees to lis; in p/phabetical order, all espendilurea'over$50 in a repor[ing period Comnri[levs must keep
detGi/ed ucenunis and records of nll expendinmes, bu(need onTy itemize those over$50. Expenditures$50 and under moy be udded mgether,
jroin cmnmulee recnrds, ond reporfed on line l3.
(A "Sehedule B: Expendi[ures" at[achment is available�o romple[e, print and a��ach to this report,ifaddi�ional pages are required to
reportallexpendi[ures. Pleaseincludeyourcommi��eenameandapagenumberoneachpage.)
To Whom Paid
Date Paid (alphabelical listing) Addreas Parpose otExpendi[ure Amoun[
3 �17 �Jo�.afi cr� �[ M MN sT-'
�.nn/ P-t�r>�.✓ �Pds�rU� S S�q.
' � �£� R�"s�e.�'�� ����nr ST�rOS �-l7`.
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Line 12: To[al Expendi[ures ovcr$50(or lis[ed above) 5 �
Line 13: To[al ExpendiWres $50 and under* (not listed above)
Enrer on page I, line 4 -> Line 14: TOTAL EXYENUITURES IN THE PERIOD
' If you have itemized expendiNres of$50 and undcr,include them in line 12. Line 13 should include only lhose expendimres m[i�emized
above. Page4
•� ' Invoice
� �i I�TORTH SHORE I�Rit�rTt1�'G
281 Mnm Sraeer• NoarH Reaowc, MA 01864
-„7�. Tei 978.6642609 • Fnx 978.664.1454 Date If1VOIC0 #
�'�c�'} WWW.NORTHSHOREPRINT.COM
� �L� 3/1712070 24944
Bill To Ship To
Elaine Web6
Terms Contact Telephone Fax
NORTH SHORE PRINTING
281 MqIN ST
N RERDING, 11q
, 01B64 Descri t1011
978-6642609 Amount
f1qft 19, p0t0 03: 17pM 9�talColorFinchCoverprintedisitle425X6 273.41T
TERM : 9�tal Color Finch Cover printetl 1 side 4.25%6 215.85T
MERCH: � �
9111733417
I
REF a: �p05
ACT a: 4266841793879499
EXP : 03/73
CARD : VIS/1
5HLE: 8 519.84
RETR REFk: Bp7B19602374
RPPROVAL CO�E: 05190�
I qGREE TO Ppy RBWE
TOTRL qMpUNT qCCORDING
TO CRRD ISSUER laGREEfiENT
x_'___'___'______'_____'
SIGNf1TURE
WEBB/ELRINE
THqNK YOUI
PLEqSE COME R6AIN SOONI
MERCHRNT COPV
Subtotal saes.zs
Sales Tax (6.25%) gao.se
Total $51984
Balances not paitl within 30 days from Invoice date will accrue a service charge of 1-1I2% per month
PLEASE PAY FROI✓ THIS INVOfCE . . . THkNK 1'OU FOR YOUR ORDER
_________________ ________ ________
- READING POST OFFICE
READING, Massachusetts
018679998 -
2445930867-0099
03/18/2010 (800)275-8777 70:38:21 AM
- --------===Sales Recefpt==�________
Product Sale Unit Final
�escriptian Oty Price Price
28c Polar 17 $28.00 $47fi.00
� . Bear C1/100
Total; $476.00
Paid 6y;
. Personal Check $q76.00
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Bil1q:1000100790544
C1erk:05
All sales final on stamps and postage
Retunds for guaranteed services only
Thank you tor your husiness
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Customer Copy