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OITY I~LERK DEPARTHENT <br /> TER MINA'I~IEI~EIYED <br />Statement of Termination T~.. or Pdn! In Ink. ~San~ ~~[~~L~IJ~H <br />This form musi Ix: complcicd by officchoid~s, candidates, and rccipicm committees <br />IAi, wish K) ~crminalc ~110 Cmvcmmcn, Code Scclion 84214.:~ " " ZT/ / AND RECFIVI::U FILED <br /> ~ el Ihs Slale 01CaM0mla <br /> Officcholdcrsandcandidalcs file an original of this form wilh she filingo[nc~ wi~ ( MAY 28199Z <br /> whom they file thc originals of Ihcir campaign slatcmcqts. <br /> <br />Committees file an o~iginal o( this feral with thc Secretary of Slate and, if applicable, UARCH FONG EU, SeOelay~ <br />a copy with Ihe local Iilin8 ofl-~er. <br />I O~l~ceholdqr pr CaRdidate Termination I Recipjlent Committee Termination <br /> <br />II Inlonnation on Office Sought or Held II Treesurer Inlormation c.~ m <br /> <br /> E/TEC11g~ OAIE OF lER&iHRnc~i CilY STALE ~1~ CX~ <br /> <br /> A,qEA C~3~OAYI'IM~ PIKN~E NUM~.R ] [ffF. CIM[ OAf( OF I[~TION <br />Ill Vsriflcalion Iii Verilicatlon <br /> ] tare used aH rcuonable dilijcoce in prcparinS di~l smcmcnt, l have ceued to receive ! have used all rcicsonable dilijcncc in prcpuin[ this SiIIcmCIIL ThE. COmmilie4 his ceased <br /> contributions and nuke expcoditurcs; do not uilicipale receivinS contributions or repaymcnu of receive contributions Mid m,ae expcr~lurcs; docs not mticipam reccivinS cmtzibedons or <br /> ommxJinI loam made to olhe~ or my odie~ rcceipu, or mik~nS cxpcoditorcs in tho furore; rcpaymenu of outstmldinI loins made to od~rs or my other fcceipu, of mlkin <br /> bye eUminaled of 6echro dm I bye no inlcadon of abiliq, Io dilcharle all dcb~, iow die f~xure; hu ¢liminmed or declucs th-, it hu no iniendon of ~bility Io dilchufe dl dd~ <br /> received, md other oblismions; have no suq)lns f~nds; and have flied ill cmnpaisn stalcmems ioans received, ,nd edict oblifKiom: hu no sti, plu~ funds; md his flied ill camlMiln ml~- <br /> required by the Political Rdorm Act disciodnI all repomblo trmuK;linns, menu required by dm Political Refrain Act dbciosinf -II rcpomlde trlm&cdofu. <br /> I ce,rd~y under Frailty of. jaerju, y,pnder die laws of ihs SiA~ of~dEomh dm ihs f(xefoinl is 1 ccrd;y under penalty of perjLsy under die laws of die Slate of Cilifomia thil die foreSoinl ia <br /> <br /> By - By <br /> <br /> Exec~led on Al <br /> <br /> .NOTE: Addillonal liling obitgalion8 wtM be Incu. ed if an ollcehoid~, candidate, or comminee Executed o~ Al <br /> ::om <br /> .oegma rid.s~ng or.~p~mdi~ ~ of rec..e~e Ihs Iorgiveness o/a Iom~ or repaym~te ol o,t, <br /> <br /> K)ans ma4M lo omwa or any omer rocmpta. By I'~ <br /> laG/dAM OF CX~dTRO~UldfJ OFFC~J~tD(A Ca~NOf~ML Odq IIAIi M(AiUjqf ~ <br />FOR INF(~tMATK~fl RE~Je~d?O TO BE P~OV~D~D TO YOU PUI~)I~NT TO 1~1: INFOflMATK~q PRACTK:ES ACT OF lO??, ~E IHF(~TJOH MAMJAI ON CAUP-AdCd~ f~r~.~(~J~ P~ CN~ Tt~ P~tTICAL I~d~,ACT <br /> <br /> State of California Fair Politleml Praclkoo <br /> <br /> <br />