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/ ///:. TERMINATION <br />Statement of Termination .r~.,i,lp,r~Ll~.~RT~i,,,n.w_~.~ .... <br />~is f~ must ~ ~mplc~ by officch~dcrs, ca~i~ms. ~d rccipicnt commitl~s ~i"q~ <br />~ai w~h ~ ~inaic p~s~t to Government C~ S~ti~ ~214. {;; fi~e 0ffke 0~ ~he ~erc~. a~ %{e A F~ O,ict~ Use O~y ' <br /> <br /> Ofr~c~l~rs ~d c~dida~s fi~ an origin~ of ~is r~ wilh ~ filing officer wi~ NAY il~ 2 ~3 <br /> wh~ ~cy file ~ origins of ~cir c~ign <br /> Commit~ file ~ ~ig~al of ~is f~ wilh Ibc S<rc~ of Smz and, if a~licable, <br /> a ~y wiA ~c I~1 filing off. er. <br /> I OfliceMIder or Candidate T~rmi~lion I l~ci~i~nl Co~iile~ Ter~nalion <br /> <br /> II Inio~tion on O~ice So.bt or Held II Treasurer Infor~tion <br /> <br /> Iff Verilig=tion I~ VerJflc=tJon <br /> l have ~ iH re--naMe dilig~c= M prep~Mg ~s stale~. [ have ce~ m t~aivz [ have u~ Ill g~nable ~g~ce M prep=~g Ihis statem~t. ~is co~ittee h= ceded lo <br /> c~m~fiom ~d m~ e~it~; ~ ~ m~i~m [~iv~[ ~m or =~u of ~eive ~nui~fio= ~ m~e ex~ndimres; d~s ~t ~ticipn~ receivMg conuibutions or <br /> <br /> r~iv~. ~ o~ ~lig~b~; have ~ s~ ~; ~ ~w fi~ ~ c~ign sm~ b~ x~iv~. ~d o~ obllgafiom; h~ no s~lus ~n~; ~ h~ filed all c=npaign <br /> t~ub~ by ~ Po~fi~ Refo~ Act d~bs~g ~1 te~mbb =~m. ~nu r~u~ by ~ Political Refo~ Act d~closing ~1 ~e~r~ble u~nctions. <br /> I c=~ ~r ~alw of ~rj~ ~er ~ laws of ~e S~ of C~omia ~t ~e fmego~g is I c~fi~ ~r ~alty of ~rj~ u~er &e laws of ~e Stem of Cdifomia Ihat <br /> <br /> By By , ' <br /> <br /> ~ <br /> 8y <br /> <br /> NOTE; ~O~M lili~ ~aGons will ~e ~red if ~ o~, ~ale, ~ ~flee ~t~ ~ <br /> b~s r~g ~ spe~ ~s ~ r~ves ~e ~v~s ~ a ~ ~ repay~ts ~ . ~'~ ~ ~ <br /> ~s ~ to o~ms m ~y o~er rec~pts. By <br /> <br /> F~ I~T~ RE~D TO ~ ~D TO Y~ ~T TO T~ ~T~ ~C~E5 ACT ~ 1977, ~E I~T~ ~1~ ~ C~AIGN ~1~1 ~ ~ OF T~ ~11T~AI REF~M ACT <br /> <br /> Slmle of ~lifo~a F~lr ~ollllg~l 9ractlces Commission. <br /> <br /> <br />