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Policies and procedures

Form D:
Lobbyist Expenditure Report

"*" indicates required fields

1. Lobbyist

2. Principal

3. List all expenditures incurred that exceeded $100.00 per category

Food & Beverage

Entertainment

Travel

I do solemnly swear that all facts contained on this Lobbyist Expenditure Report form are true and correct.

The above named Lobbyist and/or Principal does hereby agree that any electronic signature appearing on this document is deemed to be the same as a handwritten signature for the purposes of validity, enforceability, and admissibility and shall be deemed to have the same legal effect as delivery of an original executed copy of this document for all purposes.