iv-ommonweann OT fennsyivania

PAGE 1 OF
CAMPAIGN FINANCE REPORT
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)

N"ntifiCati°n ^ My: ^ CANOBATE ' ..COMMITTEE. V tObfiYlST. "

Street Address:
3,51 <? H -re \A&K „' <\\f \^0,,, d
City: -i j 1 State: , Zip Code:
A; gv^k KM P fr,o fy\ IfiDM
6TH TUESDAY ! 2ND FRIDAY ^. 30 DAY . AMENDMENT-. -
TYPE OF ;
REPORT? '•
. - PRE-PRiWARY PRE-PR1MARY X POST -PRIMARY
REPORT
4 6
=8TH '.TUESDAY.. ' ; 2ND FRIDAY ^ 30 DAY ' TERMINATION
PflE-ELECTION j PRE-ELECT ON POST ELECTION -REPORT?
{place X to
the right of ANNUAL 1
- fetw YEAR
RLiNG METHOD few
report type) ( CHECK ONE
PAPER : DISKETTE
REPORT J__l__ ™ '

!O. DAY 1 YEAR

CTH DcVA 'iB
Ccu/A B^J-^e rfiU
FOR OFFICE USE ONLY
MO- DAY YEAR MO. DAY YEAR
Summary of Receipts fe^
and Expenditures from: P \ \ t^j
A. Amount Brought Forward From Last Report $ Pi, 43 m '"• ^
B, Total Monetary Contributions and Receipts (From Schedule 1) S ^j_
C. Total Funds Ava lable (Sum of Lines A and 8) $ <— ^ ^_ -'- . L< —j.*
fi-b3 ! —i
D. Total Expenditures (From Schedule lii) * lie • <?v
5
EL Ending Cash Balance (Subtract Line D from Line C)
y s - 1-3 '_-.-, -^ ~" {_,<

F. Value of In-Kind Contributions Received (From Schedule 11} s

75"C-oo
UJ
G. Unpaid Debts and Obligations (From Schedule IV)
' LUfco "' -1 -
AFFIDAVIT SECTION
PART i - If Siis is 2 Committee report, treasurer sign here, !f this is a'Catididate report candidate sign here.

Signature of/'P

e Twp.. Northampton County Printed Name

My Commission Expires Dec. 17. 2QD9
My commission expir rJjr^hrr Ppnna^ania AtiOCiff
Ma • Daytime Telephone Number

PART- H - Ij^thJs -is a report..of a Candidate's Authorized Committee^candidate shafi sign here.

fP.L. 1333, No. 320! es amended.

Printed Name
Moore Twp.. Northampton County
My Commission Expires Dec. 17. 2QQ9
Pennsywania AsaocianoflCTNoafles

Department of State 9 Bureau of Commissions, Elections and Legislation

210 North O f f i c e Building ® Harrisburg, PA 17120-0029 * (7171 787-5280
CSEB-5C2 (7-S3!
 SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page

I Name of Filing Committee or Candidate Reporting Period

From f - \-Qij To

t. UNITEMfZED IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR

TOTAL for the Reporting Period (1) $ —

2. IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.01 TO $250.00 {FROM PART F)

TOTAL for the Reporting Period !2) $

3. IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G)

s
TOTAL for the Reporting Period (3)
2S&J&
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Ada an
F.) IS D ' C'D

DSEB-502 (7-S5'
 SCHEDULE II PAGE 3 OF -•>"
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00

i Name of Filing Committee or Candidate eportmg Period

/ —F~ i
'-Ifr -r \\c-Y.
("iSofia
/^r
'
DATS AMOUNT
FuliName f c DAY YEAR
° °""lbu10' -y^fp SV fit-hx $ ~7Sb,oo
Mailing Address MO. DAY YEAR
- , 9 \ $
3$~n Kv^da3" i,1/ \e fc^s
Hc^U^^o
f?h
\f,nh\ - $
Occupation

La 60* fi^^
Ae-Hu* Ue^ j'V swl\U ^;C ^aa^fi^
Full Name of Contributor MO? DAY - YEAR
s
Mailing Address MO. DAY YEAR
$
City Stale Zip Code (Plus 4i MO. DAY YEAR
$
Occupation

MO. DAY VE^R

Full Name of Contributor
$
Mailing Address MO. DAY YEAR
s
- $
Employer of Contributor Occupation

D Cr;P
" "°" °f COTtnbutlorl
Full Name of Contributor WO- ' DAY YEAR
$
Mailing Address WO. - DAY YEAR
I $
Cay State Zip Code (Pius 41 MO. DAY YEAR
$
p y o Occupation

Descnpt on of Contr bution

P yerN 9 r
'° " '"CB"P° "'""
=uil Name of Contributor MO. -DAY Y£AR
s
Mailing Address WO. DAY YEAR
$
- s
J^°J~
Descnpt on of Contnbyl;on

PAGE TOTAL
Enter Grand Total of Part G on Schedule 1
Summary Page, Section 3.
DSEB-502 (7-39)
[^_
"7 C~~
1±H±L_^_
 7 SCHEDULE III

STATEMENT OF EXPENDITURES

I Name of Fifing Committee or Candidate Reporting Period

From _ _ ( - • • - A r~~ fj 7 TO

MO- DAY YEAR 1 Amount

'-, '1 I <$?v lcJ\ [; .-„•. "f~ \'_ i^c s l^£v
Mailing Address sn of Expenditure ~
^

City
=2.Y Szj%A£&JA /^V

S^yufttf 0\ | p f, | « ~
To wnom Psid MO. DAY YEAR 1 Amount

MaHing Address on of Expenditure

u ,
City
-

To Whom Paid MO. " DAY YEAR | Amount

1$

*,=ty

Is
To Whom Paid MO. AnTount

Meiling Address Desc-ripti an OT Ex-penditure

State Zip Coda (Plus 4!

To Whom Psid
i
Mailing Address Descripti

To Whom Paid MO. DAY - YEAR | Amount

D
b
**B*B'
C
"
To Whom Paid MO. DAY YEAR |

u '

c,. State Zip Code !P!us 41

To Whom Paid MO, DAY VL^R 1 Amount

Mailing Aod.MI .„.„,.!.

y

iPAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. I $

DSEB-502 (7-!
 SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Reporting Period

Kem fc d;t Outstanding Bsiance of Ceo"

" " "

Mailing Address
TcKu £b£SL DATE MO.- DAY 1 YSAR
--, - 1^ - \ 0 •, DEBT

jO^iE
-? ^ 1 M [VQMf^ U 1 Ut? &4 INCURRED
State Zip Crde iPStig *i

Description of Debt

Name of Creditor Outstsncing Balance of Debt

$
MO. DAY YEAR

INCURRED
City

-
Description of Debt

Name of Creditor

Meihng Address DATE - MO. DAY YEAR

DEBT
iNCURRED
City

Description of Debt

Name of Creditor !JuT:s:ana^ng ssiance cf JSDI

MO- DAY-' • Y£AR

DEBT
INCURRED
City KSS 5?c=ta

Description of Debt

Name cf Creditor Outstanding Balance cf Debt

s
Mailing Address DATE WO. DAY YHAR
DEBT
INCURRED
Stets Z i p Code F:-S 4!
"V
Description of Debt

Name of Creditor Outstanding Balance of Debt

$
Msiiing Address DATE WO- - DA.-V- Y£AR"
DEBT
iNCURRED
City St£^5 Zip Cc-ce :Fius 4:

PAGE TOTAL

Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Itam G, $
1H, ^o,-^c