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CANDIDATE'S REPORT <br /> (to tie filedi by a candidate or his principal campaign committee) <br /> ............ <br /> ....................... <br /> 1.Quallifying Name and Addfess Aandidate 2. Office Sought(include title of office as OFFICE USE ONLY <br /> well as parish, city, town and/or election <br /> V <br /> Is, district.) <br /> P. <br /> P' <br /> P <br /> 3.Date of <br /> Primary t <br /> This report covers from through 73qk.(\"_tS <br /> ------------------ .......... <br /> ------------------------ <br /> 4.Type of Report: <br /> 180th day prior to primary 40th day after gieneral <br /> Mh day:prior to primary Annual(future election). <br /> 30th day prior to primary Supplemental(past election.) <br /> 10th day prior to primary <br /> 1 Oth day prior to general Amendment to prior report inbered pageswere <br /> ................................................... .......... <br /> nformation <br /> S.FINAL.REPORT if: blank and had no i, <br /> t)n them. <br /> Withdrawn. Filed ofter the election AND all loanis and debts paid <br /> AND fro surplus funds remaining <br /> Unopposed <br /> 6.Name and Address of Financial Institution 7.Fu Il.Name and Address of Treasurer <br /> (You are required by law to use: one or more <br /> , <br /> banks,, savings and loan associations,or money <br /> V *Tro scw j4�,1\1T-1Sj <br /> market mutual fund as the depository of all <br /> campaign funds.) <br /> q nz <br /> 9,-Name of Person Preparing Report <br /> Daytime Telephone 14145 <br /> ................................................... <br /> . ......... <br /> 10. WE HEREBY CERTIFY that the information contained in this report and the attached 8. FOR PRINCIPAL CAMPAIGN COMMITTEES ONLY. <br /> campaign <br /> schedules is true and correct to the best of our knowledge, information and belief, and that no a. Name and address of principal, <br /> expenditures have been m ad e nor contrib u ti ons received that Ih ave.not been reportedh e rei n,a n d committee,committee's chairperson,and subsidiary <br /> 'that no i n fo rm a b on.required to be,reported by the Louisiana Campaign F i nain ce Dii.sd osu re Act has committees, if any(use additional sheets if necessary). <br /> been deliberately omitted. <br /> This top day of v—,;.% V A <br /> 00 <br /> Signature of Candidate/Chairperson Daytime Telephone <br /> To be signed by Chairperson only if report by <br /> principal campaign committee) <br /> F �� = 1 T <br /> ............. <br /> Signature of Treasurer Daytime Telephone <br /> ...................... ........ <br /> Form 107,Rev.1V1 4 <br />