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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />Type or print in ink. <br />Statement covers period Date of election if applicable: <br />from 07/01/05 (Month, Day, Year) <br />Date Stamp <br />p CE61 <br />SEP 2 9 2005 <br />CITY OF RYED OOD CITY <br />CIT <br />OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS <br />COVER PAGE <br />' of <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />STATE ZIP CODE AREA CODEIPHONE <br />CA 94062-4038 ( <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />STATE ZIP CODE AREA CODE/PHONE <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the laws of the State of California that the foregoing ' true and correct. ) <br />09/29/05 / /l—� - <br />Executed on BY z'" <br />Date S�4nature of sure rAssistant Treasurer <br />Executed on 09/29/05 By �7i, <br />.'1�Date of controlling Officeholder, Cann-MaKSfafeMeasureProponentorResponsible Officer ofSponsor <br />Executed on By �11 <br />Date Signature of Controlling Officeholder, Candidate. State Measure Proponent <br />Executed on BY FPPC Form 460 (June/01) <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Toll -Free Helpline: 866/ASK-FPPC <br />State of California <br />