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Louisville <br /> ect.Uts..0•b1NC L tele1.1A,i) <br /> is <br /> CI[y/Clerks OrTiec <br /> /49 Rloin Street, Cnei,,,illc,CO bawl/ <br /> 303-335-4535/Fa„303-335-4550 rate stamp <br /> Email: 1vi arca r th M @ I ou isvi l l eco.sov <br /> DISCLOSURE BY PUBLIC OFFICEHOEUER <br /> REPOR i ur GIF i s, RUNE iRAttlA AND OTHER BENEFITS <br /> Ian.c4-B-cua,%.R. .) <br /> rilers should ono review provisions ofzecrion i,irr.cre.VUA of tn.C To.aao Co,,,t;t..62,. <br /> MUNICIPAL FILING <br /> Filing required: J.'`u <br /> '` uarter 711 L"d Quarters s'd Quarter n 0 Quarter r' J <br /> (ase Apr;I b) (doe Jell is) (doe Dumber 15) (due 3anuary 15T <br /> Name or Office Flolder:__ Dennis Malviiey Ward 3 <br /> Address: 314 llia -nutia Gide Louisville CO 80027 <br /> Check one of the following: ( I have notllfng to report 'Please sign and date below) <br /> I received the following gifts. honoraria, or benefit dorin%this period. <br /> 1) 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 Erie Girt, Ronorar:a or Other Benefit Was Received: <br /> 1 Hmount/vaiue: $ Date Received: 1 <br /> De3cription: <br /> 3) Name of Peron from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift_ Flonoraria or ter Benefit Was Received: <br /> Amount/value: $ Date Received: <br /> Decripti;n: <br /> J <br /> Signature �._ r �� <br /> Date: `3`c;0 l <br />