J. MILLARD TAWES, Governor                     1131

39.    Balance on hand at end

(To correspond to balance at start of
next reporting period as
modified by #40)

40.    If there are funds in excess of campaign

obligations, indicate any dispositions
and amounts:

Total $.

41. If there are residual funds in excess of
listings in #40, indicate intended use,
name and address of person accountable
for such funds, bank or banks where
funds located and in what name and
bank account numbers:

42. If there are obligations in excess of funds,
list amounts, for what purpose and to
whom (name of person or firm, and
address):

43. Name of Bank(s), location(s), and ac-
count numbers where funds for political
purposes (personal or general) from
whatever source are deposited:

44. Signature of candidate ..............................................................

45.    Signature of treasurer ..............................................................

(If candidate report, both candidate and treasurer sign)
Business address:

Candidate ..............................................................................

Treasurer ..............................................................................

Residence address:

Candidate ..............................................................................

Treasurer ..............................................................................

46.    Subscribed and sworn to (affirmed) before me this................

day of........................................, 19...............

(SEAL)                   ........................................................

Notary Public

47.    Receipt OR Disbursements:

(Strike out the incorrect word; DO NOT combine Receipts
and Disbursements on same sheet (s); use separate