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S[ ~PPLEM~_NTAL INDEPENDENT EXPENDITURE <br /> Supplemental Independent Typ~ or print in ink, Re~ort cove. period Date Sk,mp <br /> Expenditure Report Amounts may be rounded <br /> a fi~ al ~e sam ~m~ a~ ~a~ as ~e campaign s~ls filed by ~e ~date sup~ ~ (Month, Day, Year) <br /> --~" ~ bY a ~mm~-- p"mari~ f~m, to .p~ ~ ,~e the measure. A se,ate f~ taus ": [ ~'j <br /> measure b~ suprA.. ~s.. This form is filed in addition 1o ,, ~ ~ --~ <br /> ?y o~er r~ ~mpa~ s~te--ts. C~Y C::: ' ~"'C~ CFY <br /> NAME OF FlOR NAME OF TREASURER (IF RECIPIENT COMMITTEE) <br /> ~ENT ~DRESS ~ TR~SffiER (NO. AND ST~ <br /> I.D. NUMBER (IF REC~IENT COMMI~EE) <br /> ~ESS , <br /> AR~ ~ <br /> II }yp~ of Commi~ea ~.x~ ~gJ i III Name of Candidate or ~oasure Su ~po~ad or Opposed c.~c~ ~.a <br /> Is this a s ....... ~ .... ' ........ f i NAME OF BALLOT MEASURE f B~LOT NO.&E~ER ~ JU~SDICTION <br /> IV Independent Expenditures Made A~addi~lin~a~nonappmpdate~be~dmnUnua~onshee~. ~LAT~mDATE <br /> DA~ NAME AND ADDRES~ OF PAYEE DESCRIPTION OF EX~NDI~RE ~ ~LEN~ Y~ <br /> <br />FOR INFORMATION RE~IREO TO 8E PROVIOED TO YOU PURSUIT TO THE INFORMA/~N P~CTICES ACT OF 1977. SEE ~ORMATION MANUAL ON CAMPAIGN DISCLOSUR~ PR~ISIOtlS OF THE POLI[ICAL <br />' Slate of Cali~ ornia Fair Political Practice,: Commisalon <br /> <br /> <br />