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Schedule C Type or print in ink. SCi~iEDULEC <br /> Nonmonetary Contributions Received Amounts may be rounded Statement covers period <br /> to whole dollars, <br /> ,rom 0d <br /> <br />NAME OF FILER I,D. NUMBER <br /> <br /> IFAN I~OlVlDUAL, ENTER AMOUr/ CUMU~TIVE TO <br /> FULL NAME, MAILING ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER OESCRIPTIO~ OF FAIR ~ARK~ DATE CUM~TIVE TO <br /> ~ATE ZIP CODE OF CON~IBUTOR CODE * ~OODS OR SERVICE~ CALENDAR YEAR DA~ O~ER <br /> RECEIVED (~ COMU~E, A~O ~NTE~ LO. NUMBER) (~F SELF-EMPLO~O. E~ER VALUE {IF APPLICABL~ <br /> .~E OF ~US~NESS) (JAN 1 - DEC 31) <br /> <br /> ~ ~ ~ lED ~ ~ <br /> <br /> [] IND <br /> [] COU <br /> [] OTH <br /> <br /> [] IND <br /> [] COM <br /> [] OTH <br /> <br />Schedule C Summary <br />1. Amount received this period - nonmonetary contributions of $100 or more. *Contributor Codes <br />(Include all Schedule C subtotals.) ................................................................................................................... $ IND-Individual <br /> COM- Recipient Committee <br />2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................ $ OTH-Other <br /> <br />3. Total nonmonetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTALS ~ ~2 ~c"t',TM <br /> <br /> FPPC Form 460 (8/99) ,;~: <br /> For Technical Assistance: 916/322-$660 <br /> <br /> <br />