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I ¢ ~N~ i I-'~ ~R kl <br />Officeholder, Candidate, Type or Print In Ink. Sl.lem®.l coven period <br />and Controlled Committee <br />Campaign Statement -- Long Form Irom / - / - ~,'~ <br /> <br />SEE I~TflUCTIONS ON REVERSE <br />Chck o~ ol I~ Iollowi~ hxea lo I~cite I~ ly~ of slalmnt ~i~ flle~ Date ol Election t~ ~ ~ ~: A F~ Official Use Only <br />~] Pm-elecl~ ~al~l If applicable: <br /> <br />  Term~al~ Slal~enl (Ntach a c~p~ ~m 415 Io this slal~nl.) Cl~ <br /> <br />I Ofli=e~l~r, Cand~ate~ II Other C~llees Not I~luded in this Slale~nt= L~ ~y o~r <br /> <br /> CiTY [ SIAl[ il ~ ~ C~ ~ ClllEE ~: (~ l SI~) <br /> <br /> C~E~ ~: (~ ~S~ <br /> <br /> ~l ~ 1~ (~ ~Sl~) ~TY SLATE <br /> <br /> / <br /> <br /> Tr~w: ! ~vc u~ ~U r~b d~igc~ ~ m ~c ~ o[ my k~w~gc I~ U~urcr h~ <br /> <br /> k~w~c ~ ~[mim ~i~d ~cifl ~ iff ~ fl~ ~u~ is ~ and ~nl ~ m I~ ~ ~ my t~wlcdsc <br /> ~pb~. ! ~fy un~ ~ly of ~r~ un~r ~ laws of ~ Sine of C~if~ia al~ ~h~ulcs is ~ a~ c~plclc. I ccni~ u~r ~nalty of ~du~ u~r thc <br /> ~l ~ f~cgoing ~ ~ ~ ~L ~ ~ ~ laws of ~ S~ of C~if~ia Ih~ thc f~cg~ng is ~e ~d c~l. _ <br /> <br /> i~ ~F~BII~ REOUIRED lO BE BOVIDED lO Y~ R~SUANI TO lttE I~MAII~ PRACI~ES ACT OF 1971, ~E I~l~~l <br /> <br /> <br />