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Statement of Personal Expenditures by a Candidate

  1. This form can only be used by a candidate who has no committee, has not accepted or received any contributions or contributions in kind, but has made expenditures of personal funds.

  2. Expenditures exceeding $20.00 shall be itemized and listed below:

  3. Total Amount of Non-Itemized Expenditures ($20.00 or less)

  4. I certify to the best of my knowledge this Statement of Expenditures is true and correct.

  5. Note: Submission of false, erroneous, or incomplete information may be subject to sanctions in accord with the Greenwood Village Municipal Code.

  6. Leave This Blank:

  7. This field is not part of the form submission.