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Aatendment <br />hi -Kind Contributions PC of 121 yes 0 -N. <br />Use this fcan oo repm torsi -monetary contrNuiom, donatimu, goods of senices prwaded rG the committee or fund, <br />t:cn r.R0-111i if Tn_-,indl`.nntnhiTtinnq were nr,ill hp rPfimdPd .,jthjn 7 eljvc <br />1. C:omminee Roil Nam (=A Fd ifa�lira6le) <br />'_.1D -Number <br />t.'(.)MMITTEE TO ELECT ROBERT KIRK <br />3. Contnibutor Information ❑ Add ❑ Remove <br />a. Full N'ame.liailiue .-ddre,<s 6k Phone <br />- <br />h. Trpe of C,autrihntor <br />c. Comments.. <br />[include city. state. St rip) <br />_ ..... <br />......................................................................................................................................-. <br />4]7 in&-LidLal <br />...........................:................. ........... .........................................._ _............... <br />!Aggregated Ind iduai Contribution <br />❑ Caridcatz <br />❑ �iC[S <br />❑� <br />❑ Rs'�e:siam <br />d. Election Sum to Wilt <br />❑ Other Recaipt 5crrca <br />_......m........-._--------- W........,.... <br />S ] 0.79 <br />e. Description <br />E Date (m>oiddiy� -y) <br />6• Fair Market moamt <br />I' VE?Tr SUPPLIES <br />02i 1412026 <br />10.79 <br />4 <br />3. Contributor infortuation ❑ Add ❑ Remove <br />a. Full-kame,bfailing Address 4 Phoue <br />h. Tgpe of Contributor <br />e. Commenta <br />(include citr, state, & zip) <br />........ ... .... ...._..................................... <br />Zctdisidul <br />J A M E S ROBERT KIRK <br />❑ Canada!- <br />1193 MANOR OAK PLACE NW <br />❑ = arty <br />❑ <br />CONCORD, NC 28027 <br />-'AC <br />d. Election Sun to Date <br />❑ it=:aesed::tn <br />❑ Other Tim-i¢t 3rs rc- <br />............................... _ ... . <br />5 3,6fi7-73 <br />e, Description <br />._ ...._......--............--- ......................__._...._.._..._..__......_..._------- <br />f, hate (mm: dd m-) <br />g. Fair111arkrt Amount <br />Name Badge <br />01119.i2026 <br />$ 38.52 <br />Print Media <br />01;' 19l2026 <br />81.22 <br />kLISMess cards <br />0 U 1912026 <br />5 101-65 <br />3. Contributor Information ❑ add ❑ Remove <br />a. Full Name. Mailing Address & Phnae <br />h. Type of Contributor <br />c. Comments <br />(include cityL'Ztate, & Zip) <br />W� _ ci :seal <br />........ .............................. ... ..•--.-..........................................._.._.._.............................. <br />JAMES ROBERT KIRK <br />❑ Ca::a z <br />1193 MANOR OAK PLACE NW <br />❑ <br />CONCORD, NC 28027 <br />❑ = S C <br />d. Election Sum to Date <br />❑ <br />❑ OtherF-.-ipi krrce <br />................. .........................................- <br />S 3,667.73 <br />e. Description <br />f. Date (mm-ddiy'nF) <br />s Fairaiarket?lneertnt <br />Yard Signs <br />01r1912026 <br />S 3,236,75 <br />C <br />r <br />4. Total only this Page $ 3,468,93 <br />5. Total of ALL CRO-1510 Pages <br />S 3AW93 <br />( Thn line wins br an fine 1- o%Drtriled 5unrxran Pape CRO-1100) <br />cRo-1 .Sj 0 "- sas- 3cart: a: El -XI Lim rrt-r 2t"' <br />