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Generated On: 7/11/2008 3:15:22 PM

DR-2 Disclosure Summary Page DR-2


Mike Miller for Jones County Supervisor Status: Filed
Committee Type: County Candidate - Supervisor Statutory Due Date 7/19/2008

County: Jones Adjusted Due Date 7/21/2008

District: 1 Filed Date 7/11/2008 2:53:35 PM

Committee Code: 18183 Postmark Date

Political Party: Republican Amendment Date

Report Date: 2008

Treasurer
Last Name: Miller First Name: Jan MI:
Address: 17938 County Rd. X-31
City: Anamosa State: IA Zip Code: 52205 Phone: 319-462-4975
E-Mail: MJMCounty53@wmconnect.com

Chairperson

Statement of Cash On Hand


Cash on Hand at Start of Period $191.46
Schedule A: Cash Contributions Total $33.14
Schedule F1: Loans Received Total $0.00
Schedule H2: Campaign Property Sales $0.00
Sub-Total $224.60

Schedule B: Expenditure Total $224.60


Schedule F2: Cash Loan Repayments $0.00
Cash on Hand at End of Period $0.00

Additional Assets and Liabilities


Loans in Place at Start of Period $1,100.00
Schedule D: Unpaid Bills $0.00
Schedule E: In-Kind Contributions $0.00
Schedule F2: Forgiven Loans $1,100.00
Schedule F2: Outstanding Loans $0.00
Schedule G: Consultant Breakdown No
Schedule H1: Campaign Property Value $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
Generated On: 7/11/2008 3:15:27 PM

Schedule A: Contributions Sch-A


Mike Miller for Jones County Supervisor Status: Filed
Committee Type: County Candidate - Supervisor Statutory Due Date 7/19/2008

County: Jones Adjusted Due Date 7/21/2008

District: 1 Filed Date 7/11/2008 2:53:35 PM

Committee Code: 18183 Postmark Date

Political Party: Republican Amendment Date

Contribution Contribution Name and Address of Contributor Relationship To Contribution Fund-Raiser


Date Committee ID Candidate Amount
6/9/2008 Check # Miller, Mike Self $33.14
17938 County Rd. X-31
Anamosa, IA 52205

Total Regular Contributions $33.14


Total Fundraiser Contributions $0.00
Grand Total All Contributions $33.14

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
Generated On: 7/11/2008 3:15:29 PM

Schedule B: Expenditures Sch-B


Mike Miller for Jones County Supervisor Status: Filed
Committee Type: County Candidate - Supervisor Statutory Due Date 7/19/2008

County: Jones Adjusted Due Date 7/21/2008

District: 1 Filed Date 7/11/2008 2:53:35 PM

Committee Code: 18183 Postmark Date

Political Party: Republican Amendment Date

Expenditure Expenditure Expenditure Name & Address Purpose Expenditure


Date Committee ID Amount
5/16/2008 Check # Anamosa Publications Advertising $98.70
4 208 W Main St
Anamosa, IA 52205 Newspaper ad
6/5/2008 Check # Anamosa Publications Advertising $32.90
5 208 W Main St
Anamosa, IA 52205 Newspaper ad
6/5/2008 Check # Monticello Express Advertising $54.00
6 111 E Grand St
Monticello, IA 52310 Newspaper ad
6/9/2008 Check # Midland Times Advertising $39.00
7 301 W Webster St
Wyoming, IA 52362 Newspaper ad

Total Amount $224.60

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1
Generated On: 7/11/2008 3:15:30 PM

Schedule F2: Loans Paid or Forgiven Sch-F2


Mike Miller for Jones County Supervisor Status: Filed
Committee Type: County Candidate - Supervisor Statutory Due Date 7/19/2008

County: Jones Adjusted Due Date 7/21/2008

District: 1 Filed Date 7/11/2008 2:53:35 PM

Committee Code: 18183 Postmark Date

Political Party: Republican Amendment Date

Date Loan Amount


Paid / Name and Address of Lender Relationship To Candidate
Paid/Forgiven
Forgiven
7/11/2008 Miller, Mike Self $1,100.00
17938 County Rd. X-31
Anamosa, IA 52205

Total Loans Paid This Period $0.00


Total Forgiven This Period $1,100.00
Total Unpaid Loans from Last Period $1,100.00
Total Received This Period $0.00
Total Outstanding Loans End Of Reporting Period $0.00

IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD | 510 EAST 12th, SUITE 1A | DES MOINES, IA 50319 | (515) 281-4028 1 of 1

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