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i: [Oningo StaTES HOUSE OF REPRESENTATIVES + [FINANCIAL DISCLOSURE STATEMENT Period covered: Janvary 1, .004.- Decmu see. Y1,2004 Each question in this part must be answered and the appropriate schedule attached for each “Yes” response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION ~ ANSWER EACH OF THESE QUESTIONS: ‘TRUSTS Ost ogrding Os y by ha Commies oy Sands ol Of Conduct ona cen eons dass Hoe You had sna sl benetang you, yur spout 24S a” une Feanp 0. Gvine ‘SCHEDULE I— EARNED INCOME (INCLUDING HONORARIA) fe ‘Tie page may be copied If more space le required | | Feel amt Arana Me lise ed | | + | fH a ows twee if 4 For addon assets and unearned income, ue net page. - SCHEDULE lIASSETS AND “UNEARNED” INCOME, sme tame Guin Asset andlor Income Source ‘ype ot Income Sanco = S500 ] —-T ner treo cow | Prep Ans Frenne Sm Wiens yom le i | lo Stem \agwe T {eh vets Yor Viton oh ————— ‘This page may be coped i more space Is recur. SCHEDULE Il — LIABILITIES ——— —— iH all HI eee eae ( [SE] stmneye Bane GEE Tuy | Mameane Mth ial Te | LST) St Weys Bis Meerens € | | | iuitene aerwoee «Sedat Loy el eer i | Ste Loom | ree : 1 1 | } SCHEDULE IV — POSITIONS ‘Use satonalshectsil more space equed, ror oor onpye

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