Statement Of Personal Expenditures By A Candidate - Colorado Secretary Of State
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1Colorado Secretary of State
1560 Broadway, Suite 200
Denver, CO 80202
(303) 894-2680
(303) 894-7732 Fax
STATEMENT OF PERSONAL EXPENDITURES BY A CANDIDATE
[CRS 1-45-108(1) & CRS 1-45-109, SOS Rules 24.5 & 24.9]
(For use by a candidate who has not received any contributions, but has made expenditures of personal funds.)
Name of Candidate: __________________________________________________________________
Address of Candidate: ________________________________________________________________
City, State, Zip Code: _________________________________________________________________
Office Being Sought: _________________________________________________________________
Report Period: Beginning Date ___________________ Ending Date ______________________
Full Name, Address & Purpose of Expenditure
Date of Expenditure
Amount
Full Name, Address & Purpose of Expenditure
Date of Expenditure
Amount
Full Name, Address & Purpose of Expenditure
Date of Expenditure
Amount
I certify to the best of my knowledge this Statement of Expenditures is true and correct.
Signature of Candidate
Date
Colorado Secretary of State Form Rev: May 2000
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