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Form CPF M22: REPORT OF BALLOT QUESTION EXPENDITURES <br />BY CORPORATION, ORGANIZATION OR INDIVIDUAL <br />MUNICIPAL FORM <br />Commonwealth Office of Campaign and Political Finance <br />of Massachusetts <br />File with: Local Election Official Piling Date: W $" day preceding election <br />❑ 30" day after election <br />❑ January 20i' <br />Please print or type, except signatures. <br />Name of Corporation/OrganizationI <br />or Individual: C_',),)tnj iiee ,( `r /\Aasi_r,vnn',yt q i3Avte� i? .Ia <br />A GNPs-. \�/e:`�C000\ <br />2. Address: a T)or ecav �J1 L_exg, �\Abo MA <br />3, Reporting Period: J\/C) \./ 9 zoo to NO\I 3 ZCV <br />Month Day Year Month Day Year <br />4. The expenditures below were made to (check one) support / oppose <br />question number Z relating to <br />(if applicable) <br />/\/ ekj ?e <br />briefly) <br />submitted to the voters in L L X \ )(\ C J 0)1 /Y1 A on DDC 4 <br />(Narn&e City/Town) (Election Date) <br />Expenditure(s) (attach additional pages if necessary): <br />Date Paid <br />To Whom Paid <br />Address <br />Purpose <br />Amount or <br />Value* <br />'5 <br />X <br />LJ <br />J <br />s Total expenditures on this report <br />Total expenditures previously reported <br />Total expenditures to date <br />*In-kind contributions should be included here. <br />OVER <br />