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I~ did ' ' <br />· ~)ffice older, Can ate, Typeorprintlnink. COVER PAGE- LONG FORM <br /> and Controlled Committee Stitementcoversperied DateStamp <br /> <br /> Campaign Statement Long Form ~?- ~: ~ ',' ~= <br /> (GovemmentCodeSactions84200-84216.5) ifr°m ~ ~.t~ [::~: ~!/ <br /> SEEINSTRUCTIONSONREVERSE !through ~//'~'~/~' II~ <br /> Chockoneofthefollowingboxestolndicatethetypeofstatementbelngflled: Dateofelectio~lfupplki~ld: JUL 2 9 I996 IL_/ e~e of <br /> <br /> B Pre-election Statemertt (Nkmth, nay, Yem) I ~ ~ For OfficialUseOnly <br /> <br /> Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) <br /> ~SpecialOdd-YearCampeignReport ry OF REDWOOD CITY <br /> ~i~ Semi-annuel Statement C I T Y C L E R K <br /> [~ Termination Statement (Attach ? completed Form 415 to this statement.) <br /> I, Officeholder. Candidate, and Controlled Committee II Other Committees IIot Included in this Statement: L~.womer <br /> Included in this Statement comrnitteesnOtincludedinthiscomofidatedstatementthatacecontrolledbyyouandeny <br /> NAME Of OFFICE HOLDERJ~ CANDIDATE comml~ees of which you have knowledge that are primarily formed to receh, e contr/but/on~ <br /> <br /> e/w.z v; /,4'4 uW /,VI ,o.,,.,...., <br /> ~/'? <br /> <br /> EE ADORESS 040, AND STREET) <br /> <br /> III Verification <br /> I have used all reesonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the in f~m~tion cg~ned herein and in the attached schedules is <br /> true end corn pierre.} ce i~i fy~J nde r penalty of perjury under the laws of the State of California that the fMegoing is true an~c~cor rect. i ~// (/_ <br /> <br /> An offkeholder or candidate who ¢o~trols I committee mu~t lbo verify the campelgn statement. I have used ell reasonable diligence and to the best of m y knowledge the treasurer has used all <br /> reasonable diligence in preparing this statement, I hive reviewed the statement and to the bes~ of my know~edge the information contained her~n and in ~btrittached schedules is true and <br /> complete. I certify unjer ~na~ of perjury under t~ laws of the State of California that the foregoing is true and correct. ~-~ /~/~ ~ . <br /> <br /> ,.acutedo, ., <br /> Dine CrTY AUD STATE SmNATURE OF Ce~NOIDATE~OF F ICE HOdLIOER <br /> <br /> Executed on At By <br /> OATE CITy AND STATS S~aNATURE OF CANOIOATE/OF F ~CE HOCOE # <br /> <br /> Executed on At By <br /> OATS CITY AND STATE SIGNAl UAE OF CANDIDA TEl~ F ICIE HO~OE R <br /> <br /> FOR INFO~MATIO~ REQUIREO TO "E PROVIOSD TO YOU PURSUANT TO THE INS O(~UlA?ION PRACT'ICE$ ACT OF 1S77, SEE INFORMATION MANUAL ON CAMPAIGN DIscLOSURE PROVISIONS OF THE POLITICAL RE FORM ACT. <br /> <br /> State of California Fair Political Practices Commission <br /> <br /> <br />