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3rd Quarter 2017
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CITY COUNCIL RECORDS
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FINANCIAL DISCLOSURE FORMS (45.080C)
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2017
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3rd Quarter 2017
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Last modified
4/6/2020 11:56:39 AM
Creation date
4/6/2018 9:25:54 AM
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Template:
City Council Records
Doc Type
Financial Disclosure Forms
Signed Date
10/3/2017
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City. <br /> Louisville /' <br /> ivt.vnr‘vii•Str:C[i ,ars / c7 <br /> City JIerR's Orrice ,!m <br /> .W7 Main trees,rouisville,CO SODC/ ••/ <br /> 11:s-ssa-Fsr6/Fa;sDs-ss5-4550 Date Stamp <br /> Email: MercElytriM@loeiz:illcco.607. <br /> DISCEOSOKE BY PUBLIC OFFICEHOLDER <br /> REPORT OF GIFTS, Rc c RHRIM HIED t7/1 RER 8E1'40115 <br /> (Sec.24-6-203,C.R.S.) <br /> Filers should also review provisions of Section s,nrricle -rA of the Cororaao Consritution <br /> 1010lICIPAL FILING <br /> Filing required: 1"Quarter 2u ctuartern 3`"C:tuar er F w-1 g`h Quarter 0 <br /> Itiue April 1j 1'aue iuiy 13) ;slue Octolsep 15) (Be.Jane..ry 15) <br /> "ame of Office folder: Lhiiatopher Leh Ward 1 <br /> Address: 414 W aluut Latie, LouisvillCC LU 8UU27 <br /> Check one of the following: n I have nothing to report (Please sign and date below) <br /> I received the following gifts, honoraria_ or benefit during this period. <br /> 1) Name of Person from Who the Gift, Honoraria or Other Benefit Was Received: <br /> '` Amount/Value: 5 Date Received: <br /> Description: <br /> 2) Name of Person from Who the Gift_ fonoraria or ether Benefit was Receives: <br /> Amount/Value: $ Date Received: <br /> Description: <br /> sl flame of Person from Who tho Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: $ Date Received: <br /> Description: <br /> 4) Name of Person from Who the Gift, Honoraria or Other Benefit vvas Received: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> signature Detz: (-4 <br /> i O .� <br />
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