SAMPLE Campaign Disclosure Report 1A 1C Receipts
DONATION RECEIPT Receipt No. 001 Campaign Committee for ESVI Donated By: Virgin Islander for Senate Street Sunny Isle Annex Unit 4; 93A Address: PO 10000 wrw wepsecom City: Christiansted State: VI ZIP: 00840 campaignemail@email.com Tax ID 123456789 Date of Donation: 8/10/2019 Donation Value: 1000.00 Description of donation: Donation from Virgin tslander for Banners and other misc Costs for the campaign (See attached Check, Money Order, or receipt for cash donation) Authorized signature: i a ee Thank you for your generosity. We appreciate your support! DONATION RECEIPT Receipt No. 002 Campaign Committee for ESVI Donated By: Virgin Islanders for the VI PAC for Senate Street Sunny Isle Annex Unit 4; 93A Address: 321 Street Rd www.website.com ; F ; City: Christiansted State: VI ZIP: 00840 campaignemail@email.com Tax ID 123456789 Date of Donation: 9/10/2019 Donation Value: 500.00 Description of donation: Donation to Campaign specifically for Radio Interviews and Radio Ads. …
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DONATION RECEIPT Receipt No. 001 Campaign Committee for ESVI Donated By: Virgin Islander for Senate Street Sunny Isle Annex Unit 4; 93A Address: PO 10000 wrw wepsecom City: Christiansted State: VI ZIP: 00840 campaignemail@email.com Tax ID 123456789 Date of Donation: 8/10/2019 Donation Value: 1000.00 Description of donation: Donation from Virgin tslander for Banners and other misc Costs for the campaign (See attached Check, Money Order, or receipt for cash donation) Authorized signature: i a ee Thank you for your generosity. We appreciate your support! DONATION RECEIPT Receipt No. 002 Campaign Committee for ESVI Donated By: Virgin Islanders for the VI PAC for Senate Street Sunny Isle Annex Unit 4; 93A Address: 321 Street Rd www.website.com ; F ; City: Christiansted State: VI ZIP: 00840 campaignemail@email.com Tax ID 123456789 Date of Donation: 9/10/2019 Donation Value: 500.00 Description of donation: Donation to Campaign specifically for Radio Interviews and Radio Ads. (See attached Check, Money Order, or receipt for cash donation) Authorized signature: _ Thank you for your generosity. We appreciate your support!