Laserfiche WebLink
Type or pr~ in ink. ~H(3RT F(3RM <br />Recipient Committee *r~o~.~.,ou~ea Staernerlcoverspedod CALIFORNIA450 <br />Campaign Disclosure Statement - to who~ do,~. 1994 FORM <br />ShO~ Form [~ ~o/oz/~9 <br />~E ~ONS ~ R~R~ ~rou~ 10/16/99 Page 3 ~ 4 <br />~ ~ C~M~ I.D. N~BER <br /> <br />IV ~enditures and Contributions Made (If more space is needed, use add~ional copies ~ this page for co~inuation she~.) <br /> <br /> A~IG~D, E~R ~ ~R~'S ~ ~D ADDRESS) ~MBER OR L~ SUPP~ <br /> S~ C~OS~ C~ 94070 CO~[S~[O~ S~ C~OS <br /> [.D. 99[626 C~ CO~C[~ <br /> 500.00 $ 500.00 <br /> ~ ~O~ CO~C[[ D~V[D N~ C~d=Ye= <br />[O/[5/99 ~ EO~ $ 200.00 <br /> LD. 99[365 C[~ CO~C[~ <br /> 200.00 $. 200.00 <br /> ~r <br /> C~Ye~ <br /> ~r <br /> SUBTOTAL $ <br /> <br /> <br />