Petschel 09-01 to 10-24-14-Initial & Final ReportFo,-.,ffice Use Only:
CAMPAIGN FINANCIAL REPORT
(All of the information in thjs re ort ispublic information)
Name of candidate, committee or corporation(A jZ. - /%,�.
Office sought or ballot question CQ L�j,/ 1 L) /T/�JjDistrict
Type of l ` Candidate report
report Campaign committee report
Association or corporation report
Final report
Period of time covered by report:
from 9' d Tito C7
CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
(money or in-kind) rather than contributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize all
contributions from a single source that exceeded $100 during the calendar year. This itemization must include name, address, employer
or occupation if self-employed, amount and date for these contributions.
CASH
IN-KIND
TOTAL AMOUNT RECEIVED
$ r)
TOTAL CASH -ON -HAND
$ CJ
EXPENDITURES
Include the amount, date and purpose for all expenditures made during the period of time covered by report.
Attach additional sheets if necessary.
Date
Purpose
Name and Address
of Recipient
Purpose
Amount
b
L .7 v
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/ / /d Al ' ,JS..%LL tri .�'i�//
rid :,1 A
TOTAL
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./ ...1 ' -am.
rz'1
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A
4._d.
J.'._.
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+
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TOTAL
4
6-7/,
3/
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total
more than $200. Submit a separate report for each project. Attach additional sheets if necessary.
Project title or description
Date
Purpose
Name and Address
of Recipient
. Expenditure or
Contribution
Amount
TOTAL
I certify that this is a full and true statement. �a-
Signature /6hY
Printed Name LZ... PQA-6a-nety Telephone (161 4 . maii (if available)
Address Ce 4b' QI�tFa) .1 p t. -I r Q� :i) I o )0 r"-'
Office of the Minnesota Secretary of State
61