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CpnStmt La Berge 851670
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CpnStmt La Berge 851670
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Last modified
7/5/2005 2:36:33 PM
Creation date
11/25/2002 11:55:29 AM
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Template:
Political Reform
Political Reform - Document Type
Campaign Statement
Name
Georgi La Berge
Committee Name
Citizens to Re-Elect Georgi La Berge
Identification
851670
Treasurer
Marie Immekeppel
Date
1/1/1991
Date Range
1990-1994
Box
5262
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.-~ Officeholder, Candidate, Ty, o, pr~.t ,. ~.k. COVER PAGE- LONG FORM <br /> and Controlled Committee Statement cove. period Date Stamp <br /> Campaign Statement -- Long Form ~- ~ ~q <br /> .ov. <br /> SEE INSTRUCTIONS ON REVERSE thr~h ~ - ~ ~ -~ ~ <br /> C~,k~t~fol~i~xestoi~i,atet~statement~i~fi~: ~te~e~i~H, JUL I 8 199~ ~ ForOfi(ialU. Only <br /> ~ Pre~le~ion Stltement (~h. Day, YeI,) <br /> Supplemental Rrw.~io, $~tememt (A~Kh · completed Form 495 to thb statement.) <br /> Sffcill ~d-Yelr C~li;n ~I~K Cl~ OF REDWOOD ~ <br /> Semi-annual S~t~nt ~ ~ ~1~ ~LERK <br /> Termination Statemenl (A~ach i corn pl~t~ Form 41S to this ~atement.) <br /> ~nt: <br /> I n4 lis St~e~ c~m~ffs ~t i~l~ in t~ c~t~ ~te~ ~t ~re c~troll~ ~ y~ ~ ~ny <br /> NAME OF OFF~EH~ER ~ ~]~ATE c~ffs of ~h y~ ~ k~ t~t ~ ~ f~m~ to recei~ c~td~ <br /> <br /> ~l~ ~: ~lS ~SS ~. A~ ST~ ~il M T~R C~R~LED C~M~EE/ <br /> ,,,,, 7 ,.-- <br /> COMMI~EE WE I I.D. NWMA ~ ~T~ ~C~ <br /> C~i~ii A~SS i- A~ ST~E~ <br /> ~ STAT~ ~ C~ ~ C~YT~E ~ ~ ~ T~K C~R~LED <br /> ~ . NAME OF TRE~URER c~; ~ss ~. AND ST~ <br /> ~ A~SS ~ ~R ~. A~ ST~E~ ~ STATE ~ C~ A~A C~YTIME ~ <br /> ~y STATE ~ C~ ~ C~W~E ~ <br /> <br /> I <br /> III VerifiMtion <br /> I hl~ u~ iii rimnl~ dil~e~e in pre.ring this .Itimint. I have review~ the ~atement and to the ~ of~ k~l~ge the ihfor~n con~in~herlin I~ in the i~ached Kheduies is <br /> true a~ compS, i M~i~ u~r ~nl~ of ~rjury under the ia~ of the State of ~lifornia that the for~s tr~ cor~. ~ ~ ~ ~ ~ _ <br /> <br /> An office~r M ~MMate w~ (~trMs I c~m~ee mu~ lbo verify t~ campaign ~teme~. I have u~ III rea~nablf diligence and to the ~ of my kn~ledge the treasurer has used <br /> reachable dilige~e in pre.ring this ~l~ement. I have review~ the statement and to the ~ of my kn~l~ the information contained herein ifld in the aKached Kh~ules is true and <br /> complete. I ceKi~ under ~na~ of ~rju~ under the Ii~ of the State of California that the foregoing is true Ifld corr.. <br /> <br /> Executed on, At By <br /> DATE C,Y A~ STATE SIGNATURE OF ~NDIDATE~F~EWDEK <br /> <br /> Executed on, At By <br /> ~ DATE C'Y AND STATE SIGNATURE M ~NDIDATE~FKE~DEA <br /> ~ Executed on At By <br /> DATE C,Y AND STATE SIGNAIURE OF CANDIDATE~F~E~DER <br /> <br /> FOR INF~AT~N ~I~D TO BE ~OVIDED TO YOU P~UA~ TO THE INF~AT~ P~ES A~ ~ 1~77. SEE INFO~ATION MAN~AL ~ ~MPAIGN DISCLOSURE PROVISIONS M TH~ P~,ICAL AUOM A~ <br /> <br /> <br />
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