HomeMy Public PortalAboutForm 460 (Jan 1 - Jan 22, 2005)
Recipient Committee
Cåmpaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
COVER PAGE
Type or print in ink.
Date Stamp
CALIFORNIA 460
2001/02
FORM
RECEIVED
Statement covers period
from
IJ-I-O.b
Date of election if applicable:
(Month, Day, Year)
JAN 2 7 2005
Page
/
of
')K
SEE INSTRUCTIONS ON REVERSE -
through
\ -~-OS-
m A ~Ut 8, ó100s-
CITY CLERK
CITY OF CLAREMONT
For Official Use Only
1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4.
~ Officeholder, Candidate Controlled Committee - 0 Ballot Measure Committee
0 State Candidate Election Committee 0 Primarily Formed
0 Recall 0 Controlled
(Also Complefe Part 5) 0 Sponsored
(Also Complete Part 6)
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
2. Type of Statement:
OG
0
-Ð
0
Preelection Statement
Semi-annual Statement
Termination Statement
Amendment (Explain below)
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement - Attach Form 495
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
11.0. NUMBER
3. Committee Information NCJT YET 'JŒ:CEltÞEL\
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Treasurer(s)
I,.. ~E~CODE/PHONE
r:t 01 )::J?? - 7-30 I
NAME OF TREASURER
}(ATlf"l A Sl-Jf~
MAILING ADDRESS"
IIø 1 Lf bH ATTlAfo.-JOO6^
CITY STATE
C L- A"RE Ml),wa C A
NAME OF ASSISTANT TREASURER, IF ANY
Cr,
q; ;/7l &01 )6~;;::~/ II
s?~ ~~E~~O~:: FO~ C f r~
I In 7'-/ C H A TT4t-JOD6 A C,.
CITY STATE ZIP CODE
CL.A2-E"rr\oru)r CPt Cfl711
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Co (.) ¡..J C. '-
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
~\J.sS Lt CLA~~Q-tT e ~ðL .. CO~
OPTIONAL: FAX / E-MAIL ADDRESS
K A-B LE5 ;L Lf5"Ø'l @ A Ob... c.ofY\
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of peljury under the laws of the State of California that the foregoing is ~¿nd corract
Executed on / -ó( 7 - os-. By ~~/¿r. á /' /- /'
~Da . ( .. ~ ~r:~~e AssistaJJÞTreasurer
Executed on . ~ S-- By./' .- t:::. .
If; Dale ~"""" o!c:oo""",,, ~. .... . Stole ì.. P""""oN '" """""';.' 0- of Spono'"
Executed on
Date
By
Signature of Controlling Officeholder. Candidate. Slale Measure Proponent
Executed on
Date
By
Signature of Controlling Officeholder, Candidate. State Measure Proponent
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
1<'û5SEL-L L. 3~OWN
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
C LA 12-.:: IYl 0 ~'T C. \ T 'f Co<é),..:J c.. t L
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STAlE
I <1S(n 6L.ASSJso~ ~Ùë. ~kAKc:mCNT Cf:\ 917ft
ZIP
Related Committees Not Included in this Statement: LIst any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
.
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
STAlE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
STAlE
ZIP CODE
AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA 46 0
FORM
Page
~
of
<¡
0 SUPPORT
0 OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Cåmpaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
~~5s;eLL L. E~.u.JN
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2.. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4~ Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedule H. Line 3
8. SUBTOTAL CASH PAYMENTS """""""""""""""""" Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ...............................ScheduleF, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance """""""""...,. Previous Summary Page, Line 16
13. Cash Receipts ................................................... ColumnA, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule " Line 4
15. Cash Payments .................................................. ColumnA, Line 8 above
16. ENDING CASH BALANCE """"" Add Lines 12+ 13+ 14. then subtract Line 15
/f this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2. $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... AddLine2+Line9inColumnBabove
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THISPERIOO
(FROM ATTACHED SCHEDULES)
$
, ;3 õ<O ' ~
0
, 320 . -,e
0
',)J..O. ~
$
$
$
III).~
0
/ I 0 . -,:!!.-
~ '-f 0 1.7/
0
;).5/1.7/
$
$
$
()
, 3~ 0 . ~
0
IJO.~
¡J../() .'~
$
0
$
$
0
().l..fO I. 7/
from
through
Column B
CALENDAR YEAR
TOTAL. TODA1E
$
I. ~ótO ~
.
0
\ I S c20 . ~
0
, ~J..D.~
$
$
$
/ /0. ø~
0
/ to . ~:-
~LjO1.71
0
~51[ .7/
$
$
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
Statement covers period
CALIFORNIA 46 0
FORM
I - I - Ob-
\ -~-OS-
Ll
of
'r:-¡
Page
1.0. NUMBER
Nor VEr ~~c~'ù~
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
7/1 to Date
20. Contributions
Received $
21. Expenditures
Made $
$
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
I I $
I I $
I / $
I / $
/ / $
I I $
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK.FPPC
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE'
NAME OF FILER
t<USSGLL L. '6-.,....." ~"\ N
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A
Statement covers period
CALIFORNIA 4 6 0
FORM
from
1- t - O~~
I .- ~a.... - OS-
of
9
~
through
Page
I.D. NUMBER
NOT y¿ r Kl~C¿'/rJè' b
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, AlSO ENTER 1.0. NUMBER) CODE *
PER ELECTION
TO DATE
(IF REQUIRED)
/-\D-Q)
J -IO-O~
I-lV-as-
l-Jb-o~
I -[ :-05"
)c(A 1<ë: N :B~ N
\ q S-Co 6L.........s..S1;.O~Ð A uE"
CLAo..~ëW\O~~1 L/\ 9/7/1
Lc..)DO~~ 'bO~(ÞL~$
(p~ cB~\{ØHo'--\'\.A- '( où,..:) G k.
c..L~~ VV\.o~'\ C '" 9 (c 1\
\
\:"0 LM. L ~ VV\ B
(P;)O l.::. . V\I1I ~À r\I\~~ A ûE.
L L- A~c:= IY\D~~ I C Þt . 9 ('1 ¡{
ßc:,'1 h + 'boR. oTf+ 'f EOLL-A ~ b
(pó( \ L.c...J ~L-L c7.sL-ë~ J) ~ .
t,-Þ\~MO¡...j~, (A 9'7/ I
b Au, ò L. 3Sl-A.Ñ ~
I '1 3 5" J...A ss. c,....J Au ë
CL ~~c (Y1 o,...s-r- (} A cr , 7 II
I
~ND
0 COM
OOTH
OPTY
OSCC
~IND
OCOM
OOTH
OPTY
osee
~IND
DCOM
oaTH
OPTY
OSCC
~ND
OCOM
OaTH
OPTY
OSCC
Da'ND
DcOM
OOTH
OPTY
osec
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
-
rAe, '-rr pt:)~Oé""O~
V E-~\ZÐN
1~50.~
Co t#I\ CfÐ~ -I- eP
~L>~L"'s.. GvILJ ITë . dÀ S D. -
~ë'\~c1
4/ (j().~
\<c:: "\t ~c:: b
4:
IOO."~
1i.
I~O ~~
.
SUBTOTAL $
850.~
Schedule A Summary ,;;0
1. Amount received this period - contributions of $1OØ or more.
(Include all Schedule A subtotals.) ...............................................'......................................................... $
2. Amount received this period - un itemized contributions of less than $~............................................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
~
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
1.0 50. ~
J 7 (). l>D
~3rJ.. () . ~
...
-"
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK.FPPC
:Schedule A (Continuation Sheet)
!Monetary Contributions Received
NAME OF FILER
~L.' S S 6. L I...-
L. ::6t2ð~ ~
Type or print In ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMIT1EE. ALSO ENTER 1.0. NUMBER) CODE ...
t ,J{- oS
ÞA~\c.. ~ A~ 1M$,R-o~6,
~Ó> 1 KG tA^?G ~ Avë:
C LA.~€W\O~t c.~ 9'71 (
1-~-oS-
vY1 A i~ \ D ~ 1 ::::r-c:- &5. s: ~ \ C. K.
l-i (p 3 ~. 7 ï.!!::
~ "Contrlbutor Codes
¡NO -Individual
COM - Recipient Committee
(other than PTY or See)
¡ OTH - Other
l PlY - Political Party
SCC - Small Contributor Committee",
[)lNO
DeOM
OaTH
OPTY
osee
œtNO
DeoM
OOTH
DPTY
osee
DINO
DCOM
oOTH
OPTY
osee.
DINO
oeOM
OaTH
OPTY
osec
olNO .
DeoM
OaTH
OPTY
osee
from
Statement covers period
I ,... / - a:s-
J ,.. d.~ - oS-
through
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
II F SELF-EMPLOYED. ENTER NAME
OF8USINESS)
AMOUNT
RECEIVED THIS
PERIOD
~E""t~ D
-1/00 , ~
-
...L1'-1.5 ù ~ A t--X ¡;- ~è,..:r -/
NrrJFN /oo.~
80
SUBTOTAL $ d. 00. -
SCHEDULE A (CONT.)
CALIFORNIA 4 6 0
FORM
-
Page .::>
1.0. NUMBER
of
~
/ý¿J r Y df j;?¿ tElto' caJ
CUMULATIVE TO OATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
from
I - l - OS
CALIFORNIA 4 6 0
FORM
SCHEDULE E
Type or print in ink.
Amounts may be rounded
to whole dollars,
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
, -M-OS-
Page ~
1.0, NUMBER
of
(J
~ l...') S .s E L.. L
L . ~~c!)~N
1'10 T Y t:/ i2;c ~ IV,Ø I
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
C't\IP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)"' OFC office expenses SAL campaign workers' salaries
CVC civic donations ÆT petition circulating TEL 1. v. or cable airtime and production costs
FIL candidate filing/ballot fees RiO phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals
IrÐ independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, AlSO ENTER I,D, NUMBER)
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
[., ~'-1 0 r=-- CLAèëMO,ùl
;;to 7 H^~ù~l2.~ Auö.
C. L-~è¿-J'K.oÞOJl , C;'" cr I 7 J
V \ t....&M. ~ C. t\ L- b t..L--' ë LL 5, b~.s
!.!-5~7 c f'V\~~ë ~ ~e .
L:. 1-.. tV\ Ð þ...) T E \ C ~
1\ F-~ \~~\..C ~~~.s..
SLf 13 1"1 c..KLAu S 'b~. Nw
~~ësrcm., W\N SSC;Of
t=-lL
SAvt^-4)L é ~AL-LðT ~A¡..JSL.^f7C,..j F¿ð
4-
SO.~
CM?
'A.~~ $rbNS
$
C)
CMf
C. A ()...A.. Þ" I ú> ~
kL)\fO ~ .s
-I
0
* Payments that are contributions or independent expenditures mUst also be summarized on Schedule D.
SUBTOTAL $
~ 50 , ~
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ....................................................................................."""""'" $ - _L?ij', 'If)
t ~ 0 t£)O
2. Unitemized payments made this period of under $100 .. """ .......:........................... .................... ..... ..... ....... ...... ...... .............. ........... ................ ..... $ (). -
3. Total interest paid this period on loans. (El'1ter amountfrom Schedule B, Part 1, Column (e).) ............................................................................... $ . 0
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ _J, ~Ji.5!d¿- «ø
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE E (CONT.)
from
I - I - 0':>-
I -~-os-
CALIFORNIA 460
FORM
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER ~ LD. NUMBER
VL.?$>,~:LL- L. Z~w,j Ne>ry¿T ~¿ctPtJtfi:,
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
0vP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetaryt OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL tv. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
If\Ð independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet. e-mail)
through
Page
7
of ?
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
C 1-JJ,f¿Z7Y1 O,....s'"( C o"f¿r ~
/ II S. CoLL-ðbo AV'lS:
~ l:-A12....~ ðNr- \ . C A- 9/ 7 If
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
PRr
L At 'M;" ~ . \(Ø t-.J
\C\C-k::DFF eU¿~T Ab
.!f;
/'-It7. ?t)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ /1'-/. C(D
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER') /.D. NUMBER
"" ~sSë LL L. JS~u-:I,.J No. 'ft?T~<::õ1Uð))
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OJP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
eve ctvic donations FEr petItion ctrculating 1EL Lv. or cable airtime and production casts
FIL candidate filinglballot fees PHO phone banks iRe candidate travel, lodging, and meals
FND fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals
N) independent expenditure supporting/opposing others (explain)" PO5 postage. delivery end messenger services TSF !rensfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VaT voter registration
lIT campaign literature and mailings FRT print ads WEB Information technology cosls (Inteme~ e-mail)
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)............................................ INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $
3. Net change this period. (Subtract U~e 2 from Line 1. Enter the difference here and ¿). '-f I:) I 7)
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ .' b
May be a negative nurn er
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from l - ( - OS-
through I - ~ - O.s-
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE. ALsO ENTER 1.0. NUMBER)
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
CODE OR
DESCRIPTION OF PAYMENT
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
V \L.M-VÅ C,*,L'þ~ ~LL
11 55 7 L=:: &M~C¿ ~
t::. '- tV1~c, C A
A t:=-Fc!)~ ':b Ai: LÕ ~~ ,..J .5
5"'-1 \3 N, C~L""-' S D ~. N t..J
Roct+c'"Ç.,~. fY\ ti 5.570 r
S1\L~
CmP
-tot o~-s. 7 /
, .
( . \,
.$
;los-S-, 7 /
0
-t 3 '-ffp . ~
cm~
~ 3L/~,~
0
. Payments that are contrIbutions or Independent expenditures must also be
summarized on Schedule D.
SUBTOTALS $ rJ. '-(0 I , 7 I
$ éÀLfD 1.7/
$
0
SCHEDULE F
CALIFORNIA 460
FORM
Page
e?' of ~
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
.$;lOSS. 7 r
...$ 3~ , ~
$
8-Lf{) I ,71
;<Lf()f.7/
()