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CANDIDATE~ OFFICEHOLDER AND CONTROLLED COMMI~'I'EE <br /> CAMPAIGN STATEMENT- LONG FORM <br />  (Government Code Sections 84200-84216.5) OA~E //--OF- <br /> (Type or Print in Ink) Il' ~*i <br /> <br /> ~ TERMI~TION STATEMENT Pr~El~ion S~temeflt, a~ach a <br /> · <br /> <br />I ~NDIDA~OF~HO~ER iNCLUDEDIN~IS CONSOUDA~D RE~RT <br />NAME OF ~OIOAT~FFICEHO~ER: I OFFICE SOUGHT OR HELD: ~ ~ ~ n~ ~ <br /> <br />RESIDENTIAL OR BUSINESS ADDRESS :- ~. ~ ST~ET OTY SLATE ~ C~ ~ C~AY TiME ~ONE NUMiEA <br /> <br />II CONTRO~D COMMI~E INCLUDED IN ~IS R~ORT (See definition on revel.) <br />NAME OF COMMI~EE: ~. o. NUMMA <br /> <br /> ~O~SS OF COMMIe'S: ~. Al STilT ~ w ~TA~ ~ ~ ~ C~Y TIME ~Ot <br /> ~ME OF TRE~URER: ~ <br /> <br />III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS STATEMENT WHICH ARE CONTROLLED <br /> BY YOU AND ANY COMMII'rEE$ PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON <br /> BEHALF OF YOUR CANDIDACY. <br /> <br /> CONTROLLED <br /> COMMITTEE /~Idk4E AND I.O, NUMIER COMMITTEE ADDRESS TREASURER COMMITTEE? <br /> <br /> A~tach M~,~;~lal InfMmadon mi a~m~oriatet~ laM~ c~at~ ~ <br /> VEM~ON <br /> ~N~DA~ OR OF~HO~ER: <br /> I HAVI USm ~ ~AS~ ~ A~ TO ~! lEST M MY ~~i ~E WASURER HAS USED A~ REASONA~E DI~ENCE <br /> ~P/W ~A~WNT. I ~ ~VKWID THK ~A~MINT AND TO ~! II~ M MY ~E~E THE ~O~ON CONTAMED HEREIN <br /> AND ~ ~1 A~A~B ~I~US ~ ~E AND CO~E~. I QR~ UNDER HN~ M H~URY UNOER THE ~WS OF THE STATE OF <br /> ~$URER (if appli~ble): <br /> i HAVE USED A~ REASONA~E ~EN(E ~ ~EPA~ THIS $TATEMENT AND TO THE BE$T OF MY KNOWLEDGE THE INFORMATION <br /> CONTA~EO HERE~ AND ~ THE A~ACHED ~E~S IS ~UE ANO CO~ETE. <br /> I ~n~ UNDER PENAL~ M ~mUAY UNDER THE ~ OF THE STATE 0F ~0~ THAT THE FOAE~WG IS TRUE AND <br /> EXERTED ON AT IY <br /> <br /> <br />