Form F-7 - West Virginia Campaign Financial Statement (Long Form) Page 9
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9Check if addi onal pages
UNPAID BILLS
Page 9
have been a ached.
Purpose
Date
Owed to Whom
Amount
Total Unpaid Bills:
OATH/AFFIRMATION
I, _________________________________________, swear or affirm that the a ached statement is
true and accurate, to the best of my knowledge, for all financial transac ons occurring within the
period covered by this statement, as required by West Virginia Code §3‐8‐5a.
_______________________________________________________ Signature of Candidate, Financial Agent or Treasurer
Date ___________________, 20______
Office Use Only
Received By: __________________
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