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<br />Type or print In Ink. <br /> <br /> <br />CITY <br /> <br />Statement covers period <br /> <br /> <br />Date Stamp <br /> <br />from <br /> <br />I j- Q.t. <br /> <br />through 6 j/)- 9ð <br />Date of election If applicable: <br />(Month. Day. Year) <br /> <br />Page -L- of.Z::: <br />For Official Use Only <br /> <br />JUL 2 61995 <br /> <br />ther CommitteeJ Nut InClOde(J In thIJ'Stetement: LIst any other <br />committees not included in this consolidated statement that are controlled by you and any <br />committees of which you have lenowledge that are primarily formed to receive contributions <br />01 to malee expenditures on behaff "ffour candldaCJI. <br />cOMMmEE NAME <br /> <br />1.0. NUMIEII <br /> <br />NAME Of TREASUllEII <br /> <br />CONTROlLED COMMmEU <br />DYES DNO <br /> <br />cOMMmEE ADDRESS <br /> <br />(NO. ANO STIIIET) <br /> <br />an <br /> <br />STATE <br /> <br />lIP CODE <br /> <br />AREA CCIOEIDAYTIME PHONE <br /> <br />cOMMmEE NAME 11.0. HUMIEII <br /> <br /> <br />NAME Of TREASUlllII CONTROlLED COMMmEU <br />DYES 0 NO <br /> <br />COMMmEE ADOIIESS <br /> <br />IND. AND STREET) <br /> <br />crrv <br /> <br />STATE <br /> <br />ZW' CODE <br /> <br />AREA CODEIDAYTIME PHON£ <br /> <br />Attach additional informatIon on appropriately labeled contlnuatlon sheets. <br /> <br /> <br />and in the attached Khedules is <br />, <br /> <br />An officeholder or candidate who controls a committee must also verify the campaign statement. I have used a/l reasonablt! diligence and to the best of my knowledge the treasurer has used all <br />reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached Khedules is true and <br />complete. I certify¡;::r penalty of perjury und he laws of the Stat f California t t the foregoing is truworrect. . ~ <br /> <br />Executed on 2; L ~ At By ./ A~ ./ 1L...-A' ./ J <br />TE -- SIGNATURE Of CANDIDATEIOfFICEHOlDEII - <br /> <br />Executed on <br /> <br />At <br /> <br />CITY AND STATE <br /> <br />DATE <br /> <br />Executed on <br /> <br />At <br /> <br />DATE CITY AND STATE SIGNATURE Of CANDID"TE/OfFICEHOlDER <br />fOR INfDIIMA TION REQUIRED TO IE PIIOVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT Of "77. SEE 'lifQIIMATIOIi MAI'ßIAlW ~MPAIGN DISClOSUR[ PROVISI()IIfS Of THE PO\.m'A~ REFORM ACT. <br /> <br />"'_fl'__.'. r-I. ..~"".~I D.."I.- <br /> <br />By <br /> <br />SIGNATURE Of CANDIDATEIOFFICEHOlDER <br /> <br />By <br />