Laserfiche WebLink
Officeholder. Candidate, Tvp,o, pdnt in ink. COVER PAGE- LONG FORM <br /> St·realM covers peliod J Date Stamp <br />,- ,. ;,,and ControlledstatementCommittee.,~.l Form ,,--""'*"'~ '* <br />~.am~a,~n -- .~n~ <br /> <br />SEE INSTRUCT.3NS o# REVERSE <br /> Page d __ <br /> <br /> Ple41KtJOfl Stltell~lt (MOl14h, Dly, <br /> Sup~ement~ Pre.·aKrOn Statement (Att·ch · completed F(xm 495 to th~ statement.) <br /> SpeOal Odd-Yur Campaign Rel)m't <br /> S~mi-annu~l Steten~nt / / <br /> Telml~liofl S~fflellt (&~tech · co~l~ FOfll~ 41S to this statemenl.) <br /> ;ment: <br /> <br /> cOffun/fl~l of w~ch you hive knowtldge (hat are/mbna~Vy formed fo ~ece/ve ¢ontnbulklm <br /> <br /> f4 :,P W ~ ~p¢1]~/ ~ 'o /w , ,' l /'' <br />lC11~ STAll ill COOl AlIA C~AITa4( Pl4Oll NMII O~ !IlIA141lll C(~TIIO(~D COtdMITIEI ~ <br /> <br />III Vedflcetlon <br /> I have ueed ell reaeondde diligence in preparing this statement. I hive reviewed the ~s~..tement and to the beet of m~ ~M~id~he~nf~l~matlofl contained herein end in the attached schedules is <br /> <br /> An offkeholdel o~ cindld~to who con~ols · committee must eko v~ffy the campaign statement. I have used all reasonabl~ diligence and tQ,(he best of my knowledge the tlealurer has used ~11 <br /> reisonlble dll~eflce in ~epiring thil stltement. I hive reviewed the statement and to the best of my k nowlldgl the i~nfo~m~)on co~_ined herein and in the attached schedules ~ true and <br /> complete. I certify .~l~le~ ~lnllty 9f perjury und~er !he Ilvvt~of the State of .Cal!forn~ie that the fo~egoin9 is true ami c4~f, dct. <br /> <br /> DAft ~/ _ _ cpv Ahp'~TAT! ,~ // <br /> , DAli ,~/ % ciTY AJO STAll ,~ /~ /~/ /' M /~4~,_UI~ Of CANOIDAIIK)fflCIHOLOfR <br /> <br /> DAli - C~Y ~ STAll //~,/ SIGN.~II, Of CANO4OATI/OfflCIHQ4.OflL <br /> f (~ iI~(~UdATI4~ I/~llMI/(~ T~ ~ gqIOVIO4t g) TO V~4l PUIS4)ANT IO THF ~'*f r~l*. · ~l~i~ De · r~r& AC'I Of 1977, SE ! INf Ol~dAlION MANUAL ON CAJ~PAIGN DI$(LQSUI~i PROVISIO~4S~Of l~ PO(III(AL I~fOIUd AC] <br /> <br /> <br />