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� Recipient Commiltee <br /> Carnpaign Statement <br /> Cover Page <br /> (Giowmrr�nt Cor��c�iora&1200-84218,5) <br /> 3EE IN3TRUCTIONS ON REYERSE <br /> 1yp�or p�int in ink. <br /> Statem�nt covers p�riod <br /> from ����� <br /> thfouph �y31/09 <br /> 1. Type ai Racipient Comm!##se: Aa corr�ca.,�-cqn�paa ra�ts����a�.na 4. <br /> � t�lllwhoWar,Candid�Controli�d CommltNie ❑ prirrarly Forrn�d B�Ilot Ms�s�ro <br /> Q Shb Candidair Ei�ction Comrr�� Cammi� <br /> Q R�N Q Controihd <br /> �''r�.°cx�.�►e�� O sponsond <br /> ❑ O�r�fa1 Pur�Cotrxnitt� f���� <br /> � 8ponaor�d � Pr��ily Panrwd C�ndidat�i <br /> Q 9mM N Contributor Corrwnll�� Otlk.v�holder Commi�a� <br /> Q PoN�al Party/C�r�tnlComml�s� ��°�'�� <br /> I,D, NUMBER <br /> 3. Connrr�itte�lnbrmation ,,.,,,.,�„ <br /> 4. <br /> COMMITTEE tdAME(OR CI4N�DATE'S NAME IF <br /> Comm�ttee to Elect Barbare Pie+rce <br /> S'fREE?I100RE3S(NO P,O. BOX) <br /> <br /> CiTY STATE ZIP CODE AREl�CODE/PHONE <br /> Redvirood City CA 94061 <br /> MAILINO ADORESS(!F DIFFEREN7')NO.�ND STREET OR P,O,BOX <br /> CIiY STATE ZiP COOE AREA CODFJPHONE <br /> OPTiONAI: �AX J E-MAIL ADDRE53 <br /> «. � .T.'�T� <br /> Debe Stamp <br /> � � � � � <br /> � of__..4__ <br /> fl�t�af Niation it appNcab! FEB 0 1 2010 � <br /> _..._..__.._. <br /> (Mo�th,�y,lhar) For Offloi�l Ua Oniy <br /> CITY OF REDWOOD CITY <br /> CITY CLERK <br /> Z. Tjlpe of Stafierhen� <br /> ❑ Pn�l�Non 8ht+�rr�M p Qwrtery 91�i�rrNnt <br /> � 3�mi-�nnwi�TorrNnt ❑ �d�l Odd-Y��r Rspon <br /> ❑ Tirminatbn 3abrrNnt [j Sup{��rrwnhl PrwNctlon <br /> (Aho#�a�orm�10 Timnln��on) 9atfrr+�nt-Atb�ch Form 49S <br /> ❑ Am�nd�nt(Exp1�ln b�low) - <br /> Treasurer(s) <br /> NAME OP TREABURER <br /> Danielle L, Del Cs�o <br /> M����NO�ooRESs <br /> <br /> ClTY STAT� ZIP COOE AREA CODE/PHONE <br /> Redwt�od City CA 940fi2 <br /> A i ,I A <br /> MAILINO AOORES5 <br /> CITY STATE ZIP CODE �REI�COOEIPHONE <br /> OPTIONAL; �AX/E-MAIL AODRESS <br /> Verificatlon <br /> I h�vs us�d all+rsa�sonabb d�i�MC�1n pnp���nd r�viswing�b s�htr�nt and to th�b�s!of my Ia�owNd�tha�fomnation cor�tairad h�nin and in th,atqi�ad soh�dui�s b trua and oo�kto, I o�rti(y <br /> und�r p�na!!y ot p��jury ur�d�t ths I�ws of th�3aM ot C�I1brM�lhat ths b�oir�q ls trw d ca►rnct. <br /> i 3 � � <br /> �acscuted o� ay <br /> �a <br /> , � , <br /> E�cecuced on :�.._,.,._...._.._.�. ey <br /> , , or <br /> Exscwtad o� <br /> �y , atu� ropo��t <br /> F�teout�d on �y �, , � � !�C lrorm 4�0(JanwrylOS) <br /> PrlC?bN-ftM Fl��inr.A�►ABK-RtPC(8�/Z7�3i72� <br /> 3�b�a#C�NforM� <br />