Laserfiche WebLink
COVER PAGE- LONG FO~N1 <br />Officeholder, Ca ndidate, Type M I~'int in Ink. tatament e ~r, rind. --~~ <br />and Controlled Committee . .- _.._.Sl~-~-'\""%t(\ ~ ; ~ i~ <br />Campaign Statement Long Form ' = ~ - ~ :' ~'= '~ <br />(Government Code Sections 84200-84216.5) <br />SEEINSTRUC"rlONSONREVERSE thr i AUG 1 0 1995 <br />Cbod~ one o~ the following boxes to indicate the type of state mint helng flied: Date of election If applkabin: <br /> r--I Pre-election Statement (Moath, Day, Year) <br /> [] SupplamantalPre-einctionStatement(AttKhacompletedForm495tothisstatament.} ~ b~ ~'~d(J~-~) ~ TY <br /> [][-I ,emi-annu.lStatementSpecialOdd'YearCampaignRep°rt ll_Q- q q C~i"~ Y CLERK <br /> r=l Termination S[a[e~ent (Attach a completed Form 415 to this statoment.) , <br />· Officehol.der. ,Candidate, and Controlled Committee II Other Cofi-,~i;~ees I lot Included in this Sta~e~efit: <br />Included In this Statement comm/tteesnot/nduded/nth~sconsof/dated~tatement thatere contn~/edbyyou anda~ <br /> committees of whkh you have knowledge that are primarily fon~d to receive con~butiom <br />NA/~E ~F OFFICEHO~ER OR CANI~ATE Or tomake ex, end. res o~1 behalf off/our cendk~. <br /> <br /> (k~).ABe)S,TR~ET) N&MEOFTllEASUIeX CO#l~OUlOCO~#~,iltEI <br /> COMMITrEE NAME ~) -- TY $TAT~ <br /> <br /> N~I~ OF TREASURER · ,~, , i! / ~ co&~m*~l~SS MO. ANDST~E~) <br /> <br /> Ill Verification <br /> I have used all reesoneide diligence'in preparing this statement. I have reviewed the statement and to the best of my knowledga the information contained herein and in the attached Khedulm is <br /> <br /> DATE -~ CITy~STAIT~J / -- ' ' S/~N&IUI~ <br /> An officeholder Or candldata who conbol$ a committee mu~t also verify the campaign statament.' have used ell r?s~n .able d!l.igence .a~d t°, ,the best °~f ~Y.~k_n a~cedh~*~ ri:rt ~::~dalI <br /> complete, i certify under penalty of perjury under the laws of the State of California.that the foregoing is true Ind correct' ~)-~ <br /> <br /> Executed on At' <br /> <br /> <br />