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IS Cityry <br /> Louisville <br /> oit;,-- <br /> Uvi..C.rtc.tu.nj•DINCL /Ella AIX/ <br /> City CIerR's umce <br /> /49 Main trev.t,[ne:37,:lic,CO o00L/ <br /> 303-335-4s/5/F...303-33541550 Date stamp <br /> Email: 101ereay0191@Ivai34illeco.Rov <br /> DISCLOSURE BY PUBLIC OFFICEHOLDER <br /> REPUR 1 OF GIF i s, RONURARIA AIVQ O i HER BENEFITS <br /> (sec.zr4-15-z17z,C.R.a.) <br /> Filers should also eview provisions ofaecrion.7,Arricre AA of me Core.Qac.C....,r.I.C... <br /> MUNICIPAL FILING <br /> Filing required: .1."uuarter V fd Quarrern ird Qeurtc. Q 4th Quarter n <br /> lane April 17) (pe=rely 15) (Bee OctoEer 15) (due January 15) <br /> (dame of Office Floluer: Ashley SLDlzdllailzt Ward 3 <br /> Address: 428 South JettCi5o11 AvC11ur, Liiuibviile LU 80027 <br /> one of the following: ,...-' I have hin CO report(Please sign and date below <br /> g p ] <br /> received the following gifts_ honoraria, or Benefit durins this period. <br /> 1) Name of Person from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> 2) Name of Person from vvho the Gift. Ronoraria or Other Benefit Wa3 Received: <br /> Amount/value: $ Date Rzczived: <br /> De3oription: <br /> 3) Name of Per3on from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amoont/Value: 5 Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift, Flonoraria or Odder Benerit was Received: <br /> A nt/value: $ _Date Received: <br /> De,cription: i 0 <br /> signature LY" Se ‘' )ate: " ) 11 <br />