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Officeholder, Ca ndidate, Ty. o, p,int in ink. :OVER PAGE- LONG FORM <br />and Controlled Committee sta~;~,: cove,s ~,~~z_/ , /o ? ~ ~Oa~e Stamp <br /> <br />Campaign <br /> Statement -- Long Form ~,om~ <br />(G~e~nment C~e S~ns ~2~-~2165) <br />~ ~ ~ ~ f~i~ ~xes to ~kate t~ ty~ ol statement ~1~ fi~: (~, ~y. V~) ,im.~ For Official U~ Only <br /> Supplemental P~e~mn Statement (A~ach a completed Fo~m 495 to th~s statement ) .~ : ~ ~ <br /> S~cial ~-Year Cam~n Re~ <br /> ~ERK <br />I, Officeholder, Candidate, and Controlled Commt~ee II Other Co~.,;~ees lot Included in this Statement: <br />Included in this S~tement c~ees~int~c~t~ate~n~ta~ec~tr~byy~a~anY <br /> <br /> I have u~.ll r.~ni, diligence in pre. ring this statement. I have rev--~ the statement i~o~he., o~ ~y k~~orm.t,~ con~ .~ <br /> Uuea~com~. ice~r~of~rju~yun~r~iawsoft~S~teofCahformathatt~;~szruea~cmr~-~/ . ~/// / <br /> <br /> rea~nable dihge~ in pre.r,. thlt statement. I have reveewed the statement and to ,h~ ~. of my kn~*~ tn~,m~mmat en con~,~ M;e,..y~ .~-.~ x .. <br /> <br /> <br />