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~ SUPPLEMENTAL INDEPENDENT EXPENDITURE <br />o Supplemental IndependentType or print In ink. <br />' (Government Code Section 84203.5)Expenditure ReportAmounts may be rounded to whole dollars. Report cove,~ period/~1/~1 qq r::-.~ ..... .~ 'Da!'e'SIpmPl '" ....... l'g ! :~-'~~i '~": <br /> E,.ST. CT,O.S O. REVE.SE 'h.Oueh la- 1 -9 9 i <br />For uso by an olficel~ldefi candidate, or commiltee making independent expenditures totaling $500 or ' ~ OCT 1 9 T999 P~' / o~''?'--- <br />morein a calenda~ year to support or oppo:;e a single candidate or a single measure. This form must Date of election if applicab~:i :: ~ Fo~ O~Jal Use Only <br />be filed at the same §roes and I~aces as th,~ campaign statements filed by the candidate supported or (Month, Da~,; Year) <br />oppose~ or by. committee pl~marily fo~"led to suppoll or oppose the measure. A separate form mas / / d'/4:~' [ .......... C::l' Y <br />be filed for each candidate or measure bein] supported of oppOsed. This form is filed in addilion to! l-- ~) ~'~ -l Ci, 'f L.:,' <br />OJ any other required campaign statements ............/' L <br />o I Filer Information <br />0~ NAME OF FILER NAME OF TREASURER (IF RECIPIENT CO VlMITTEF_) <br />(~1 PERMANENT ADDRESS OF TREASURER <br />I.D. NUMBER (IF RECIPIENT COMMITTEE) (_NO. AND STREET) <br />1,0 ADDRESS OF COMMITTEECITY STA'I'E ZIP CODE <br />AREA C~DE/PHONE NUMBER <br /> <br />O II Type of Committee (=~,a ~ox) - ^0' I!1 Name of Candidate or Measure Su )ported or Opposed c.~c,< ONE <br /> · . . J ~/{ NANIE_(:~F CA~IDIDAT~ , OF~CE E;OUG~tT OR .NLQ -- ,. sUPPORT <br />-~ ,s this a controlled committee? .............. ,;C es [tl o P/atf / ed 'o d <br />~ ........... ~ NAME OF BALLOT MEASL~RE ~/ BALLOT NO./LE'CFER I JUI:~ISDICTION SUCP(}Rt' OPI~SE <br />U <br /> I <br /> N IV tnoepenoen~ ,-xpenmtures Made A~,ch additionalinforma~on on appropriately labeled c~nJ'nua~on sheets. CUMULATIVE TO DATE <br /> ~ DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNi' CALENDAR YEAR <br /> .~- (JA~. t - DEC. <br /> I <br /> <br /> I FOR INFORMATION REOL~IRED TO ~ PROVIDE0 'to YOU PURSUA~I? T0 IHE INFO~M^TION PP~Ci'ICE$ ACT OF' 1977. ~EE I1~ ORIdA?ION MANUAL ON CAMPAIGN DI$CtOSU~ PROV!SIO~$ OF 1~~. <br /> ~ State o! California Fair Political ~racticee Commission <br /> u <br /> 0 <br /> <br /> <br />