Miller, Jay Final Campaign Financial ReportCAMPAIGN FINANCIAL REPORT
(All of the information in this report is public information)
Name of candidate, committee or corporation �-io�Z A(1 )\•1(
Office sought or ballot question kJ( O1 44 , CJD'((.000(.-AL, District
Type of Candidate report
report Campaign committee report
Association or corporation report
Final report
Period of time covered by report:
frorrC)CCCS� to
1 i O
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
a 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
cc
self-employed, amount and date for these contributions.
For Office Use Only:
CASH
IN-KIND
TOTAL AMOUNT RECEIVED
TOTAL CASH -ON -HAND $
DISBURSEMENTS
Include the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Date
Purpose
Amount
TOTAL
)z(
CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) tota I 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
1-----N\
TOTAL
Of.
I certify that this is a full and true statemen
Signature Date
Printed Name ::17\- \•( 1‘' 1 i--L-W-- TelephoneG51 Ol+t �r-/-Email (if available) PM i u_fir Mal
Address '11.4 1 — N/ fi: \P YErzik --e` ��/( �qDcT t 4- i_, , V,Aki. ------1 ZQ
Office of the Minnesota Secretary of State — 2016 Campaign Manual
69