CAMPAIGN FINANCE REPORT -PAC,

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AFFIDAVIT SECTIO NPART 1 - If this is

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PART .11

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Bureau of Commissions, Etecti(D.ns and Legislatio n210 N, .,rth Office, Building 0 Harrisburg : PA

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CAMPAIGN FINANCE REPOR T

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Karen Dolan for City Counci l.

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55 Bridle Path Rd .

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Unpaid Debts and blicat,onn O'rom

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PART II – it this is a report of a Candidate's Authorized Committee, candidate shal l

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Bureau Of COMMISWnS .

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210 North Of fie RwIding

Harrisburg : PA '17120-0029 * l -t t :}r 7?7-52F,q)

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SCHEDULE 1

CONTRIBUTIONS AND RECEIPTSDetailed Summary Pag e

UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50 .00 OR LESS PER CONTRIBUTOR

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(Karen Dolan for City Council , . sc.:

i i ., :3 i .3

2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)

TOTAL t'<.)r the i s

Contributions Received from Political Committees (Part A )

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3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D )

Contrtutiorls Received from P€ 'tic, Committees iPart ( .:

Other .Contributions (Part a

TOTAL for the Reporting (3

) 4. OTHER RECEIPTS — REFUNDS, INTEREST EARNED, RETURNED CHECKS ., ETC. (FROM PART E)

$

TOTAL for the Reporting PerK)d

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TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURIN GTHIS REPORTING PERIOD (d,J and c' ;t:t.!' t

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ALL OTHER CONTRIBUTICJNS.$50,01 TO $250.00

Use this Part to itemize all other contributions with an aggregate value fro m$50.01 to $25000 in the reporting period ,

(Exclude contributions from political committees re-ported in Par t

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Karen Dolan for City Council f,/

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YEAR

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Enter Grand Total of Part 8 on Schedule 1. Detailed Summary

Section 2 .

SCHEDULE I V

STATEMENT OF UNPAID DEBTS

Use this Section to itemize all unpaid debts and obligation swhich are outstanding at the end of the reporting period .

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Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, tx:krY

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PA(A TOTALC'

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Karen Dolan for City Council i

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