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isCity,/ <br /> Loutsv ale 2 <br /> COLORADO.SINCE 1878 /' J f 7 <br /> City Clerk's Office I!!fl J <br /> 749 Main Street, Louisville,CZ a0oz, <br /> 303-33 -z ,U/lax 333-33a-va60 Qtc ston7p <br /> Email: lQIaretlytFIl4I tllou isvilIeco.gov <br /> DI5CEiJ icE Blf PUBLIC OFFICEROCDER <br /> REPORT OF GIFTS, HONORARIA AND OTHER BENEFITS <br /> (sec. C.R.s.) <br /> r;rc.,,noRra sect;o..3,Article XXIX of the Colorado Consrirurion <br /> MUNICIPAL Fltll1'u <br /> Filing required: 1_t Quarter n 2"d Quarters 3'd Quarter 11 wt"uuarter 0 <br /> (doe April 15) (due July a3) (Uue'vctoiler=31 (flue January bi <br /> Name of Office Holder: Ashley 5tuL1.1 71111 vvara 3 <br /> Addr33: 228 South Jefferson Avenue, Louisville CO 30027 <br /> Check one of the following: I have nothing to report (Phase Sign and date below) <br /> I received the following gift3, honoraria, or benefit during this period. <br /> .t) name of Person from vvllo the iiii, Flonoraria or Other Benefit Wa3 Received: <br /> Amount/Value: $ Date Received: <br /> Description: <br /> 2) Name of Person from Who the Gift, Honti,raria or Other Benefit Was Received: <br /> _Amount/Value: 5 Date Received: <br /> oescription: <br /> 3) Name of Person from vvhci the sift Flonoraria or Otller benerit was Received: <br /> Amount/value: $ uate Receives: <br /> Description: <br /> 41 Name of Person from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/value: $ Date Received: <br /> Description: <br /> Signatur "�--�' Date: <br />