Laserfiche WebLink
E!ivi11e <br /> 9/1//fr <br /> Cvi.irnnuv 3ur4u 1678 ,UJ� <br /> Chy Clerk's Office /'�� <br /> iHv IQlain aireet, [auisviile,CG sD'uz <br /> 3'ua-oszi-tar6/Fax DaLe tamp <br /> Email: I7IereElytrilVI @loei.,:illeco.eo; <br /> DisCE0sURE BY PUBLIC OFFICEHOLDER <br /> REPORT OF GIF i s, MUIVUKARIA AND 01 HER BENEFITS <br /> (Sec.zy-E-zriz, <br /> Filers should also review provisions of. ecrion i,Hrric,e n&rn of me Coiorau. <br /> MUNICIPAL FILING <br /> Filing required: V Quarter z"°Ctuar ern s'a Qeanc, Q 4th Quarter n <br /> IEue April 1D) iriue July i5) (Bac October 15) (due January 1u) <br /> Name of Office holder: lay Keany Ward <br /> Address: 1488 Wilson Yate, Louisville CO 80027 <br /> Chzck one of the following: I.K1 I have nothing to report(Please sign and date below) <br /> I received the following gifts_ honoraria, or Benefit durins thi; period. <br /> JL) flame of Person from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: 5 DdLC Received: <br /> De3cription: <br /> 2) Name of Peron from Who the Gift, honoraria or other Benefit Was Received: <br /> Hmoant/value: $ Date Received: <br /> uescription: <br /> .3) flame of Person from Who the Gift, Honoraria or Other Benefit Wa3 Received: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> 4) Name of Person from Whu the Gift_ Honoraria or Other Benefit was Received: <br /> Amount/Value: $ uate Received: <br /> Description: <br /> /? <br /> Signature Date: � y` <br />