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Cityof <br /> Louisville 1°k <br /> (l� <br /> CVLDKAUO•�INCE 1878 iX 4441 <br /> City Clears Orrice ��11 <br /> ,1y Main Street,uoeLv:ile,CO tiU011 <br /> JDi-ii -4ss6/Fay jO1-.3Sb-4550 Elute Sta119N <br /> Mrd y thi 191 @Io u isvi lleco.eov <br /> DISCLOSURE BY PUBLIC OFFICEROEDER <br /> REPORT OF viIFTs, HONORARIA AND OTHER BENEFITS <br /> (sec.��-'n-�0� C.R.S.) <br /> Filers shoal!also review provisions ar.ec[.o..i,i rr. is xxlx of rnc-Colorado Consrirurion <br /> MUNICIPAL FILING <br /> Filing required: .1.'Tuuar er L"a Q9.17cr= 3'd Quarter n 41e uuarter ! i <br /> (nue Rpril b) (nee rely 15) (due October zu) (nue January is) <br /> Mame of Orrice Pokier: Bob Muckl;. vvarEl tvlawr <br /> Address: 1101 Lincoln Avenue, Louis v illC Cu g002/ <br /> Check one of the following: M 1 have nothing to report (Please 3isn and date below) <br /> I received the following gifts, h7,,noraria, or benefit during this period. <br /> 1) Name of Person from Who the Gift, Honoraria or Other 6eneiit was Received: <br /> Amount/Value: $ Date Received: <br /> Description: <br /> 2) Name of Person from vvho the Gin, rionoraria yr Other Benefit Was Received: <br /> Amount/Valnu: .$ Date Received: <br /> Description: <br /> .1) Name of Person from Who the Gift, Honoraria or Other Benefit vvas Receives: <br /> Amount/Value: $ Dare Receivedl: <br /> Description: <br /> 4) Name of Person from Who the Gift_ Honoraria or Other Benefit Was Received: <br /> Amount/Value: $ Date Received: <br /> Description: <br /> Signature -4(7/6.j..,-- ✓"! T _ Date: �� <br />