CONTACT DETAILS OF PARTY: woBILE/PHONE Nos.
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“HOSE ROT
ONS RECEIVED (Itemized entries in Form SCR, indicate "0.00" if none received)
[CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCESINON MEMBERS: |
iM OTHER SOURCESINON MEMBERS:
FROM PARTY MEMBERS
CF 20M PARTY MEMBERS.
k: TOTAL CONTRIBUTIONS RECEIVED.
PART C: EXPENDITURES INCURRED Itemized entries in Fi
SING IN-KIND CONTRIBUTIONS FROM MEMBERS,
KIND CONTRIBUTIONS FROM OTHER SOURCES:
‘TOTAL EXPENDITURES INCURRED,
PART 0: CERTIFICATION & ACKNOWLEDGMENT
“The undersigned party easier, after beng chy suo 19, hereby depone and state hat
{h) This Statement and ts attached Scheshes. which are supported by rocetits. waichers. apd other documents reflecting PA ue,
licouate, ad complote contibutons reosived and expenses incurred by the party and its dy authorized representative,
we expences hoisted ave for law puroaes and the conesbusions were net Tran perions ot ens robs by me
to ave contrbutons
AEFIX SIGNATURE
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pacut Compliance No. v-0017403 08/36/26
{BP No, 1026230 — 01/20/16 == SM
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PART D: CERTIFICATION & AC}
“The undersigned party treasurer, afer being duly Swom To, hereby depose and sta that:
‘roe. accurate, and complete contnbstions received and expendi
(@) The expenditures incured are for lawl purposes and the com
law to ove contributions.
APFIX SIGNATURE
HERE >
alto. 63837
"BP No 1026220
(1) Ths Stalemeeh and ts attached Schedules, which are supported by receigs. vouchers ar other documents reflecting the full,
Incurred by the undersned candidate and hevher Guly
fans wove not recelved from persons or entites pronibited by
IN WITNESS WHEREOF. to undersigned hereunto af shor quatre on fate spree) ¢ ft faeit
TS CONT OC DINARIR BRENT
atfant extwbsing hssmer
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MANUELJEFFRI NI
etary Riana
Acpetment No. M350 (2015-2026)
VID
MCLE Camelance No. V-2017401 03/16/16
e206
Teh Nos. 17-9794 1007es
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FULL NAME OF CONTRIBUTOR% CERTIFICATION ACKNOWLEDGMENT
ity thet: (1) the contributions listed above were made to me as party treasurer; (2) all SUBSCRIBED AND SWORNTO BEFORE ME
fied above are true & correct: (3) they are supported by the official receipts issued affiant exhibiting histhar___ PASSPORT
eptance, (4) the contributions are from sources not prohibited by the Omnibus: issued by the DEA expiring on
Je and other pertinent jaws. ae
Oo. No. NOTARY PUBLIC MANUEL JEFER
Page No. _[2: ‘Notary PO
nck No: soneetmentin beso cet
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petcerace,
“SiaccettameserDATE
RECEIVED NUMBER
FEB 17, 2016
[arr 4, 2016
COMMISSION ON ELECTIONS
DATE OF ELECTIONS
NAME OF PARTY
RECEIPT
132
1
May 09, 2016
FULL NAME OF
CONTRIBUTOR
JESUS CLINT O.
ARANAS.
ESUS CLINT 0
ARANAS
GREGORIO LUST.
CONTACTO Il
PANTALEON
\LVAREZ
NNER
LEN NER
JESUS CLINT
ARANAS
CLARISSE YUZON
CHARITO PLAZA
JESUS CLINT 0.
ARANAS
|
ADDRESS OF CONTRIBUTOR
Contibution TYPE | DESCRIPTION
SOURCE
members
w|i Kind from party
members
members
members
members
members
members
sorabore
\n-kind from party
In-kind from party
in-kind! from party
in-kind from party |
s-kind from party
Cash from othersinon!
n-hind from party
‘n-king from party
| (lor in-kind contributions)
RALLY EXPENSES
RALLY EXPENSES
RALLY EXPENSES
RALLY EXPENSES
|__RALLY Expenses:
RALLY EXPENSES
RALLY EXPENSES
__| RALLY Expensescarity that (1) Me conttusons listed atove were made to me as paxty
(2) ali entnes spactied above are true & correct. (3) they are supported by
I reoepts issued by me upon acceptance, (4) the cantnbulians are free
"SOURS not profibvied by Me Onylious Elacton Code and ather en ws
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