\ Total Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee)

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1 . Full of Committ P.O. BOX27 Arss GANADO STA TE OF ARZONA APACHE COUNTY POLTCAL COMMTTEE CAMPAGN FNANCE REPORT (928) Zip Co Phon JAN APACHE COUNTY ELECTON 'TME: 3.D# D9 2. Sponsoring Organization (if applial). Alton Jo Shphr for Apah County Suprvisor of Caniat an Offi Sought (if applial) Primary Eltion: August 30,206 Gnral Eltion: Novmr 8, 206 Arss Fax # 4. R~ortina Prio (Plas Chk Appropriat Box) Du Btwn a JANUARY 3ST REPORT- For Prio of Novmr 25, 204 throuqh Dmr 3, 205 Jan.,206 an F.,206 JUNE 30TH REPORT - For Prio of January, 206 through May 3, 206 Jun, 206 an Jun 30, 206 PRE-PRMARY ELECTON REPORT- For Prio of Jun, 206 through August 8, 206 Aug.9, 206 an Aug. 26, 206 POST-PRMARY ELECTON REPORT - For Prio of August 9, 206 through Sptmr 9, 206 Spt. 20, 206 an Spt. 29, 206 PRE-GENERAL ELECTON REPORT - For Prio of Sptmr 20, 206 through Otor 27, 206 f lr;yiost Ot. 28, 206 an Nov 4, 206 GENERAL ELECTON RE~RT - +,"L qtk t.p r. ~~, 4tQt'l --0 os-_ ~~' #{"'// For Prio of Otor 28,206 through ~l.~bf 28, 206 O:..J J.;l 0/ '- v. ~Q, 206 an D a Summary \ Total Surplus from Prvious Campaign (or at tim mnt of Organization was fil for th nw ommitt) ColumnA Total This Rporting Prio Column B Eltion Prio Total to Dat Cash on Han at th Bginning of this Rporting Prio (ning alan from th prvious rporting prio) 2, Total Ripts Lin 8) (from orrsponing olumns on Dtail Summary Pag, 2, , Sutotal B) (a lins an for olumn A an a lins a an for olumn 4, , a 6 Total Dts an Oligations from Prvious Campaign Committ at Bginning of this Eltion Prio (or at tim mnt of Organization was fil for th nw ommitt) [Do not a or sutrat this lin from th othr lins) Total Disursmnts (from orrsponing olumns on Dtail Summary Pag, Lin 8) 4, , Cash on Han at Clos of Rporting Prio (Sutrat Lin 6 from Lin 5) Mailing Arss: Apah County Eltions Dpartmnt. PO Box 428, St. Johns, AZ 85936

2 . Committ DETALED SUMMARY PAGE OF RECEPTS AND DSBURSEMENTS Committ to Elt Alton Jo Shphr 3. Rport ovring prio of Otor 28, 206 through Novmr 28,206 RECEPTS 4. Contriutions othr than loans an in-kin: (a) niviuals - mor than $25 (Total from Shul A) () niviuals - aggrgat $25 or lss (Total from Shul A-) () Politial Committs (Total from Shul B) () Sutotal Contriutions [a 4(a), 4(), an 4(») () Rfun of ontriutions (Total from Shul F-2) (f) Total Contriutions Othr than Loans an n-kin [sutrat 4() from 4(») 5. (a) Loans ma or guarant y aniat (Total from Shul C) () All othr loans (Total from Shul C-) () Total Loans [a 5(a) an 5(») 6. n-kin ontriutions (Total from Shul E) 7. Divins, intrst, an othr forms of ripts (Total from Shul F-) 8. Total Ripts [a 4(f), 5(), 6, an 7) Column A This Prio PAGE 2 $2, $0, $60.25 $2, $0, $2, $0, $3, $2, $4,088.9 DSBURSEMENTS 9. Expniturs for oprating xpnss (Total from Shul D) 0. npnnt Expniturs (Total from Shul D-). Valu of n-kin xpniturs (Total from Shul E) 2. Loans ma y rporting ommitt (Total from Shul D-2) 3. (a) Rpaymnt of loans ma or guarant y aniat (Total from Shul D-4) () Rpaymnt of all othr loans (Total from Shul D-5) () Total Loan Rpaymnts [a 3(a) an 3(») 4. Transfrs to othr politial ommitts (Total from Shul D-6) 5. Any othr isursmnt (Total from Shul D-7) 6. Sutotal isursmnts [a lins 9, 0,, 2, 3(), 4, an 5) 7. Rats, rfuns an othr offsts to oprating xpnss (Total from Shul D-3) 8. Total isursmnts [sutrat lin 7 from lin 6) 9. Total Outstaning Dts ow y Rporting Caniat or Politial Committ (Shul F-3) $ $0, $ $4, $4, $ $4, O. rtify, unr pnalty of prjury, that hav xamin th ontnts of this ampaign finan rport an to th st of my knowlg an lif it is tru an omplt. ALTON JOE SHEPHERD rvis /2003

3 CONTRBUTONS mor than $25 - from NDVDUALS.. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE A CONTRBUTONS 4. DATE NAME, ADDRESS, OCCUPATON AND EMPLOYER OF CONTRBUTOR RECEVED a Amv Rar 0750 Avnia Dl Rio Dlray Bah FL Oupation Employr AMOUNT RECEVED THS PEROD CUMULATVE TOTAL THS CAMPAGN TO DATE 0/29/206 $2, $2, Mihll Doson P.O. Box 396 Winow Rok Az 8655 Oupation Employr lgal ounsl Navaio Nation //206 $ $ Vma Yazzi Winslow AZ Oupation Employr Elt Offial Navajo Nation /8/206 $00.00 $00.00 Oupation Employr Oupation Employr 5 ENTERTOTALONLYFLASTPAGEOF SCHEDULEA [Transfrtotalto DtailSummaryPag,Lin4(a),ColumnAJ "f ontriutions of $.25 or lss ar list with ontriutor's nam, arss, oupation an mployr on Shul A, o not nlu thm on Shul A-. List $5 Clan Eltion qualifying ontriutions sparatly on Shul A-2. $2, $2, Shul A Pag of

4 CONTRBUTONS of $25 or lss - AGGREGATE TOTAL* SCHEDULE A-. Committ Committ to EltAlton Jo Shphr ~ : 3. Rportovringpriofrom Otor 28, 206 thru_n_o_v m r_2_8_,_2_0 6 _ 4. Aggrgat Total of Contriutions of $25 or lss DESCRPTON AMOUNT RECEVED THS CUMULATVE TOTAL THS PEROD CAMPAGN TO DATE. / 5. TOTAL THS PEROD [Transfr total to 6. CUMULATVE TOTAL THS Dtail Summary Pag, Lin 4() Column A] CAMPAGN TO DATE [Transfr tolal to Dtail Summary Pag, Lin 4(), Column B] $60.25 f ontriutions of $25 or lss ar lisl with ontriulor's Lisl $5 Clan Eltion qualifying ontriulions sparatly on Shul A-2. nam an arss on Shul A, o not inlu thm on this shul.

5 EXPENDTURES FOR OPERATNG EXPENSES'". Committ Committ to Elt Alton Jo Shphr SCHEDULE D 2.D # Rport ovring prio from Otor 28, 206 thru Novmr 28, EXPENDTURES DATE AMOUNT EXPENDTURE OF THE 4. NAMEANDADDRESSTOWHOMEXPENDTURE(DSBURSEMENT)WAS MADE MADE EXPENDTURE a WALMART 495 N. PMA Sottsal AZ Z~525 of tms or Srvis Purhas. to fppn ::t? vminn!':itp!,: 0/30/206 $ KTNN Winow Rok of tms or Srvis Purhas Camoaian Raio As Mustana Stor TAZ Z~655 0/3/206 $, ",ity Winow Rok of tms or Srvis Purhas mony orr for failtv usan Sam's Clu AZ Z~655 //206 $ Santa F NM of tms or Srvis Purhas supplis to f at 2 votina sits LOWE'S Zi P //206 $ Winow Rok AZ of tms or Srvis Purhas supplis to f at 2 votina sits FastSians Z~655 /2/206 $93.98 ~ CYmp ZiP AZ of tms or Srvis Purhas ampaina ars /2/206 $89.78 ENTERTOTALONLYF LASTPAGEOF SCHEDULED [flast pag of Shul D,transfr total to Dtail Summary Pag Lin9, ColumnAl Shul D Pag of

6 EXPENDTURES FOR OPERATNG EXPENSES*. Committ Committ to Elt Alton Jo Shphr SCHEDULE D Rport ovring prio from Otor 28, 206 thru Novmr 28, DATE AMOUNT EXPENDTURES EXPENDTURE OFTHE 4. NAME AND ADDRESS TO WHOM EXPENDTURE (DSBURSEMENn WAS MADE MADE EXPENDTURE la USPS "ity of tms or Srvis Purhas FA~ ltv f\nr N. V SGN VSON h'. h' Zi P /3/206 $6.45 ~ity WNDOW ROCK of tms or Srvis Purhas AZ CAMPAGN SGNS for 2 votina sits BUTLER'S Z~655 /3/206 $ GALLUP of tms or Srvis Purhas NM CAMPAGN CARDS for 2 votin sits Guitar Cntr Z~730 /3/206 $ TEMPE of tms or Srvis Purhas AZ Camoaian auiomnt 2 votina sits Camoaian Workrs ZiP /5/206 $03.66 Ganao of tms or Srvis Purhas AZ Foo an Drinks to srv at Campaian Giant Stor Booth Z~6505 /3/206 $ D ~aanado of tms or Srvis Purhas AZ Fill propan tanks for Camoaian Z S6505 Booth foo stan ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE D [f last pag of Shul D, transfr total to Dtail Summary Pag Lin 9, Column A] /3/206 $5.75 Shul D Pag _2 $4,8{ {.;:SO of _2

7 . Committ NDEPENDENT EXPENDTURES'" Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28,206 thru Novmr 28,206 2 SCHEDULE a NDEPENDENT EXPENDTURES DENTFY RECPENT OF EXPENDTURE AND CANDDATE WHO S BENEFTED OR OPPOSED DATE EXPENDTURE MADE AMOUNT OF THE EXPENDTURE Zi P Purpos an of Purhas Bnfit W Oppos L Caniat Offi Sought Yar of Eltion Zi P Purpos an of Purhas r Bnfit U Oppos U Caniat Offi Sought Yar of Eltion Purpos an of Purhas ZiP Bnfit U Oppos... Caniat Offi Sought Yar of Eltion 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0- [f last pag of Shul 0-, transfr total to Dtail Summary Pag Lin 0, Column A] * SEE A.R.S (4) Q rtify, unr ~ suggstio prjury, that th aov stat inpnnt xpnitur(s) was not ma in oopration, onsultation or onrt with or at of any aniat or any ampaign ommitt or agnt of that aniat. NAMES, OCCUPATONS AND EMPLOYERS AND AMOUNT CONTRBUTED BY EACH OF THE THREE TOP CONTRBUTORS WTHN THE LAST SX MONTHS AMOUNT 0 Shul 0- Pag Of

8 CONTRBUTONS FROM POLTCAL COMMTTEES. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from. Otor 28,206 thru Novmr 28,206 SCHEDULE B 2. D # CONTRBUTONS AMOUNT CUMULATVE RECEVED TOTAL THS THS CAMPAGN TO 4. DENTTY OF CONTRBUTOR AND DATE RECEVED PEROD DATE a 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECENED 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED f 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED g 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED h 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED i 0# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE B [if last pag of Shul B, transfr total to Dtail SUlTYTlaryPag, Lin 4(), Column A] Shul B Pag of

9 . Committ Committ CANDDA TE LOANS to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE C 20#6 - LOANS MADE OR GUARANTEED BY CANDDATE DATE AMOUNT CUMULATVE RECEVED RECEVED TOTAL THS THS PEROD CAMPAGN NAME, ADDRESS, FROM WHOM RECEVED TO DATE 4. 4a Last First nitial Last First nitial Last First nitial Last First nitial Last First nitial 5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDDATE ONLY F LAST PAGE OF SCHEDULE C [f last pag of Shul C, transfr total to Dtail Summary Pag. Lin 5(a), Column A] Shul C Pag of

10 OTHER LOANS. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28, 206 SCHEDULE C- h206 - ALL OTHER LOANS DATE LOAN AMOUNT CUMULATVE NAME AND ADDRESS OF EACH NDVDUAL (OR NAME, 0# AND ADDRESS RECEVED OF LOAN TOTAL THS OF THE POLTCAL COMMTTEE) OF LOAN, AND ANY ENDORSER OR CAMPAGN 4. GUARANTOR OF LOAN TO DATE a NAME OF PERSoN OR COMMTTEE MAKNG LOAN AND D#,, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN,, Zip NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 0#,, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN,, Zip NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 0#,, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN,, Zip NAME OF PERSON OR COMMTTEE MAKNG LOAN AND D#,, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN,, Zip 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE C- [f last pag of Shul C-, transfr total to Dtail Summary Pag, Lin 5(), Column A Shul C- Pa9 of _

11 LOANS MADE BY REPORTNG COM MTTEE. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru _N_o_v m r _2_8_, _2_0 6 SCHEDULE D # _ 4. LOANS MADE BY THE REPORTNG COMMTTEE DATE LOAN AMOUNT OF NAME, ADDRESS AND 0# OF COMMTTEE TO WHOM LOAN (DSBURSEMENn WAS MADE MADE LOAN a Committ 0# Arss ZiP Committ Arss 0# Zi P Committ Arss 0# Zi P Committ Arss 0# Zi P Committ Arss '0# ZiP f Committ Arss 0# Zi P g Committ Arss 0# Zi P h Committ Arss 0# ZiP 5 ENTERTOTALONLYF LASTPAGEOFSCHEDULE0-2 [if lastpagof Shul0-2, transfrtotalto DtailSummaryPag,Lin2, ColumnA] Shul D-2 Pag of

12 OFFSETS TO OPERATNG EXPENSES*. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28, 206 SCHEDULE a REBATES, REFUNDS AND OTHER OFFSETS TO OPERATNG EXPENSES DATE REFUND AMOUNT OF THE NAME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEVED RECEVED REFUND Dsrption of Rfun Dsrption of Rfun Dsrption of Rfun Dsrption of Rfun Dsrption of Rfun f Dsrption of Rfun 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-3 [if last pag 0 Shul 0-3, transfr total to Dtail Summary Pag, Lin 7, Column A] * nlus rturn of ontriutions ma y rporting ommitt Shul D-3 Pag. OC Of

13 REPAYMENT OF CANDDATE LOANS. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28, SCHEDULE D-4 20#6 - DATE AMOUNT OF REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDDATE 4. REPAYMENT THE NAME AND ADDRESS TO WHOM REPAYMENT (DSBURSEMENn WAS MADE MADE REPAYMENT a Stal Zip f Stal Zip 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-4 ff last pag of SChul 0-4, transfr total to Dtail Summary Pag, Lin 3{a), Column A Shul 0-4 Pag of -- --

14 . Committ REPAYMENT OF OTHER LOANS Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE a REPAYMENT OF ALL OTHER LOANS NAME AND ADDRESS OF NDVDUAL (OR NAME, 0# AND ADDRESS OF THE POLTCAL COMMTEE) TO WHOM REPAYMENT (DSBURSEMENT) WAS MADE an D Numr DATE REPAYMENT MADE AMOUNT OF THE REPAYMENT an D Numr an D Numr an D Numr an D Numr f an D Numr 5 ENTERTOTALONLYFLASTPAGEOFSCHEDULED-5[if lastpagof shutransfr totalto DtailSummaryPag,Lin3(),ColumnA] Shul D-5 Pag of -- --

15 TRANSFERS TO OTHER POLTCAL COMMTTEES. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE a TRANSFERS MADE BY THE REPORTNG COMMTTEE DATE TRANSFER AMOUNT OF THE NAME. ADDRESS AND 0# TO WHOM TRANSFER (DSBURSEMENn WAS MADE WAS MADE TRANSFER an 0 Numr an 0 Numr an 0 Numr an 0 Numr an 0 Numr f an 0 Numr 5 ENTERTOTALONLYF LASTPAGEOF SCHEDULED-6rrransfrtotalto DtailSummaryPag,Lin 4,ColumnA] Shul 0-6 Pag of

16 . Committ ANY OTHER DSBURSEMENT Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE D DATE ANY OTHER DSBURSEMENT 4. DSBURSEMENT NAME, ADDRESS AND 0# OF COMMTTEE TO WHOM DSBURSEMENT WAS MADE; DESCRPTON MADE a an D Numr AMOUNT OF THE DSBURSEMENT an D Numr an D Numr an D Numr an D Numr f an D Numr 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0.7 ~f last pag at Shul 0.7. transfr total to Dtail Summary Pag. lin 5, Column AJ Shul D-7 Pag of

17 N-KND CONTRBUTONS an EXPENDTURES. Committ Committ to Elt Alton Jo Shphr 2. 0# SCHEDULE 3. Rport ovring prio from Otor 28, 206 lhru Novmr 28, N-KND CONTRBUTONS an EXPENDTURES 4. NAME AND ADDRESS OF NDVDUAL (OR NAME, ADDRESS AND 0# OF THE POLTCAL COMMTTEE) DATE FROM WHOM RECEVED OR TO WHOM GVEN a, Arss,, Slal, Zip, an 0# CONTRBUTON U FAR MARKET VALUE E EXPENDTURE D Dsriplion Oupation Employr, Arss,, Stal, Zip, an 0# CONTRBUTON U EXPENDTURE D Oupation Employr, Arss,,, Zip, an 0# CONTRBUTON U EXPENDTURE 0 Oupation Employr, Arss,, Stal, Zip, an 0# CONTRBUTON U EXPENDTURE 0 Oupation Employr 5 ENTER TOTAL N-KND CONTRBUTONS ONLY F LAST PAGE OF SCHEDULE E [if last pag of Shul E, transfr total to Dtail Summary Pag. Lin 6. Column AJ 6 ENTER TOTAL N-KND EXPENDTURES ONLY F LAST PAGE OF SCHEDULE E (f last pag of Shul E. transf. total to Dtail Summary Pag, Lin, Column AJ Shul E Pag of rvis 42003

18 . Committ DVDENDS, NTEREST, AND OTHER RECEPTS Committ to Elt Alton Jo Shphr SCHEDULE F- 2. D # Rport ovring prio from Otor 28, 206 thru Novmr 28,206 DVDENDS, NTEREST AND OTHER FORMS OF RECEPTS AMOUNT DATE 4. OFTHE NAME AND ADDRESS OF NDVDUAL (OR NAME AND D# OF THE POLTCAL COMMTTEE) RECEVED RECEPT FROM WHOM THE RECEPT WAS RECEVED a an D Numr of Ript an ld Numr of Ript an D Numr of Ript an D Numr of Ript an D Numr of Ript f an D Numr of Ript 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE F- [if last pag of Shul F-, transfr total to Dtail Summary Pag, Lin 7, Column A] Shul F. Pag of

19 OFFSETS TO CONTRBUTONS RECEVED*. Committ Committ to Elt Alton Jo Shphr 3. Rport ovring prio from Otor 28, 206 thru Novmr 28,206 2 SCHEDULE F a REFUNDS AND OTHER OFFSETS TO CONTRBUTONS RECEVED DATE REFUND AMOUNT OF THE NAME AND ADDRESS OF NDVDUAL (OR NAME AND D# OF THE POLTCAL COMMTTEE) TO WAS MADE REFUND WHOM THE REFUND WAS MADE; DESCRPTON an D Numr of Rfun an 0 Numr of Rfun an D Numr of Rfun Zip an 0 Numr of Rfun Zip an D Numr of Rfun Zip f an 0 Numr of Rfun Zip 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE F-2 [~ast pag of &:hul F-2, transfr total to Dtail Summary Pag, Lin 4(), Column A] *nlus r tum of ontriutions rv y rporting ommitt Shul F-2 Pag Of

20 DEBTS AND OBLGATONS (Exluing Loans) SCHEDULE F #. Committ Committ to Elt Alton Jo Shphr Rport ovring prio from Otor 28, 206 thru Novmr 28, 206 OUTSTANDNG AMOUNT PAYMENTTlUS OUTSTANDNG DEBTS AND OBLGATONS BALANCE NCURRED THS PEROD BALANCE AT 4. BEGNNNG THS PEROD CLOSE OF THS NAME AND ADDRESS OF NDVDUAL (OR NAME. ADDRESS AND 0# OF PEROD PEROD THE POLTCAL COMMTTEE) TO WHOM DEBT S OVED a, Arss,,, Zip, an 0# of Dt, Arss,,, Zip, an 0# of Dt, Arss,,, Zip, an 0# of Dt, Arss,,, Zip, an 0# of Dt, Arss,,, Zip, an 0# of Dt 5 ENTER TOTAL OUTSTANDNG BALANCE AT CLOSE OF THS PEROD ONLY F LAST PAGE OF SCHEDULE F-3 [if ast pag of Shul F-3, transfr total to Dtail Summary Pag, lin 9, Column AJ Shul F-3 Pag of T

-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l

-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l STATE OF ARZONA APACHE COUNTY POLTCAL COMMTTEE CAMPAGN FNANCE REPORT 1. J)Oy\ildson L, ~ u)jn Full of Committee eo BO'X 5'11 Address C:::zCU1tulOj A Z- ~fo50s rz8-3(3 -~91( City Zip Code Phone 2.! / k?8

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