Disclosure Summary Page DR-2: V 0LL N
Disclosure Summary Page DR-2: V 0LL N
02/05
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 070004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
I AM FILING A I111~
0 REPORT FOR (1) ELECTION l(2)NON-ELECTION YEAR,
(report date) Indicate by # a
I J Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)
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D 3 Cw~'Fr01 I~'Q SIC .
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V
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9-o x 100a
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A em.e5ker a rv+ Se,rv:c.es
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SUB-TOTAL
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`If actual flguro is unknown, chow estimated' beside the figure . Page of
(for Schedule D)
I
FOR INS1'RUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be some as on Statement of Organization) (Rev . 08/98)1 INDEBTEDNESS
Lj CHECKTHIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .
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la3`aS
t/r`Ci h 'C. C . -a - _S) o`I
SUB-TOTAL 3
03 g 6s
'if actual flguro Is unknown, show'estimated"beside the figure . Page - ~ of~G
(for Schedule D)