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IIuit .r .! Louisvlle <br /> echziutua•SLNLb 1e/ r i <br /> City CIerR's Unice 1049 <br /> art Main s reec, [oeis:iI1 ,CU SDD i <br /> .05-i. R5 i5/Foy Date stamp <br /> Ern o i l: 141.k8ytR IGF @ ha is.i lleco.6ov <br /> DISCLOSURE BY PUBLIC OFFICEROWER <br /> REPUR1 OF SIFTS, RONOKARIA AND OTHER BENEFITS <br /> (Sec.c4-5-c113, <br /> Filers should also review provisions olaerrion s,krT:cic Aux j tn.Coro.woo C ,st,tution <br /> MUNICIPAL FILING <br /> Filing required: QuarterL"d Quarter 3'd Quarter n 4th Quarter Emim <br /> (due pril s5) (da.rely 15) {du=Dcn,ber 15) (cue January 13) <br /> Name of office Holder: Bob Muckle Ward_ Mayor <br /> Address: 1101 Lincoln Avenue, Louisville CO 80027 <br /> Check one of the following: y' I have nothing to report (Please aisn and date below) <br /> I received the following girls, Honoraria, or benefit durins this period. <br /> 11 Name of Person from Who the Gift, Honoraria or Other Benefit vvas Received: <br /> Amount/Value: $ Date Received: <br /> Description: _ <br /> 2) Name of Person from vvho the sift. Honoraria or Other Benefit Wa3 Received: <br /> Amount/value: $ Date Received: <br /> Description: <br /> .$) Flame of Person from Who the Gift, Honoraria or Other Benefit Was received: <br /> Amount/value: $ Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift, Honoraria or[Idler Benefit Was Received: <br /> Amount/value: $ Date Received: <br /> Description: <br /> Signature r" '" Date: MJ ± <br />