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ISCityry <br /> Louisville <br /> iv1.vn fur/•6ir4 .r IS as 7 <br /> 4 11- <br /> City Clerf s office No/ <br /> r*ICiain zrreet, rouisville,Co S'uNi <br /> soi-335-45 i6/Fax 3os-33 -w7Q Dale Si.amp <br /> Emair MeretlytrIM@los:.:illeco.se: <br /> DISC:CUSOME BY PUBLIC OFFICEHOLDER <br /> REPORT OF GIFTS, HONORARIA AND u i PER BENEFI 15 <br /> (Sec.24-6-203,C.R.S.) <br /> Filers should also review provisions of Section a,Article AASA of me r.oioratto Consrirurion <br /> 11UMICIPAL FILING <br /> Filing required: 1"Quarter /l. z"°QuaRer� 3rd Quarter n zm Quarter <br /> II]ue April 131 (rale July 15) (6e.ucte6,.r i5) (87-1a.-.eo7 15) <br /> Name of office Molder:___,Chi istopher Leh Ward ) <br /> Address: 1 I A • _ -_ ._ . le CO 8U027 <br /> Check one of the following: n I have nothing to report (please sign and dare Below) <br /> n I received the following gifts_ honoraria_ or benefit during this period. <br /> it Name of Person born Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: 5 0 Date Received: <br /> Description: <br /> 2) Name of Person from Who the Gift. Honoraria or Other Benefit was Receiver!: <br /> Amoant/Value: $ )6 <br /> Date Receiver!: <br /> Description: <br /> 3) Mame of Person from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amountivaluz: $ " Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift, Honoraria al Other Benefit vvas Receives: <br /> Amount/Value: $ uate Received: <br /> Description: A <br /> / 4 t/ <br /> Signature / / Date: Z,Dr¢. 01 . 04c <br />