Volume 683, Page 1209 View pdf image |
SPIRO T. AGNEW, Governor 1209 received or promised, or to whom paid or promised, as the case may (b)(1) Upon receipt and before depositing, the following "cam- Number: ........................................ Campaign Contribution Receipt Duplicate (2 colors) Date:................................................................ Day Month Year Received from:............................................................................................. (Name of person (s)) (if individual) or Treasurer (if organization) Address: ...................................................................................................... No. and Street City or Post Office State Zip Code Contributions:............................................................................................ Amount of cash, service (s), or other item (s) Name of candidate:.................................................................................... (or organization). Signature of Treasurer—Subtreasurer Amount total: $...................................... (2) If such contribution is received by a subtreasurer, he shall (3) The treasurer shall retain all "campaign contribution re- (4) The "campaign contribution receipt" issued to a contributor (c) Any money or other thing of value received from any un- |
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Volume 683, Page 1209 View pdf image |
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