Candidate Financial Disclosure
Chelise Jessen
Clerk-Auditor
Schedule A - Itemized Contributions Received
Attach additional pages as needed
Date |
Name of Contributor |
City and State |
Amount |
In-Kind |
|---|---|---|---|---|
Name of Candidate
Date of Report
Subtotal for this page
$
Total Contributions Received
Sum of all Schedule A Pages in this report
$
