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THE CITY OF ASPEN
CAMPAIGN REPORT FORM
CANDIDATE STATEMENT OF NON-RECEIPT OF CONTRIBUTIONS
OR
NON-EXPENDITURE OF FUNDS
[CRS 1-45-108(1)&CRS 1-45-109]
(For use by a candidate who has not received any contributions nor made any expenditures. No
expenditures have been made on behalf of the candidate.This form is also for use by candidates that
do not have a campaign committee.)
Name of Candidate: 114 /C
Address of Candidate: _q15
City, State, Zip Code: x`15
E-Mail address:
Beginning Date: Ending Date:
CONTRIBUTIONS RECEIVED OR RECEIVABLE DURING THIS REPORTING
PERIOD
$ 0.00
EXPENDITURES MADE OR INCURRED DURING THIS REPORTING PERIOD
$ 0.00
affirm that no person received
contributions on my behalf or made any expenditures on my behalf. No contributions
have been pledged to me or on my,behalf. I have not received any contributions nor have
I made or incurred any expenditures on my own behalf during this electi n reporting
periods b�'PVVO(`� O:. G Pr�v�ocr5 re f'o'r 1 io
7
Candidate Signature Zw Date