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Officeholder and Candidate Ty~.o,,,i.ti.~k. SHORT FORM <br /> Campaign Statement -- Short Form <br /> (Government Code Sect,on 84206) __ ,,, · _ <br /> <br /> For use by officeholders and candidates who do not have a controlled committee and who do not anticipate ,. <br /> receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more durin the N <br /> calend, ar year. Officeholders whose salary is less than $100 per month and judges who have a cogntrolled : ' <br /> comm,ttee may use this form under certain circumstances. See the Information Manual on Cam ai n <br /> Disclosure Prows~ons of the Political Reform Act for Elected Officeholders, Candidates, and TheirP~Lq~trollet~ !~t _ <br /> Committ~ for further information. <br /> <br /> I Statement Covers Calendar Year 19 9.~ <br /> <br /> II Officeholder or Candidate Information III Information on Office Sought or Held <br /> NAME OF OFFICE HOLOE a OR CANDIDATE OFFICE SOUGHT OR HELD <br /> NANCY JEW~LL CROSS COUNCIL MEMBER, CITY OF REDWOOD CITY <br /> RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET) JURISDICTION (LOCATION) DISTRICT NUMBER <br /> REDWOOD CITY, CA <br /> CITY STATE <br /> R~3WOOD CITY', CA 9Z~g~E DATE OF ELECTION (MONTH, DAY, YEAR) (iF APPL~A,LE) <br /> Nov. 7, 1995 <br /> AREA CODE/DAYTIME PHONE NUMBER <br /> (~ <br /> <br />IV Committee Information <br /> List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. <br /> COMMITTEE NAME AND I.D_ NUMBE~ COMMITTEE ADDRESS NAME OF TREASUqE~ <br /> none <br /> <br />V Ve <br /> clare under penalty of perjury that to the best of my. knowledge, I anticipate that I will receive less than $1,000 and that I will spend less t~an $1,000 during <br /> the calendar year and that I have used all reasonable ddigence in preparing this statement. I certify under penalty of perjury under the laws of the State of <br /> California that the foregoing is true and correct. <br /> <br /> DATE SI~NATUII,~ O~ O~I~ICEHOLDER Oil CANOtDATE <br /> <br /> <br />