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OlTY CLERK DEPAR'PAENT <br /> RECEIVED <br /> r' I ¢)N¢; F()RM <br />Officeholder, Candidate, Type o~ Pfin! In Ink. Slalemenl co~e. pc,lad <br />and Controlled Committee ,/, / <br />C~mpaign Statement-- Long Form '~ / / <br /> <br />SEE I~TflUCTIONSON flE~R~ I~h 6 <br /> C~k a of I~ IobwlN kxel to IMoate I~ lyH al Ilalmnl kin 91~ Dale of El~lbn A F~ Oflical Use O~y <br /> <br /> ~ ~pp~ Pre-~t~ ~a~l (Alta~ a ~p~t~ F~m 495 ia lbs ~ae~l ) IMonI~ Day, <br /> ~-~1 <br /> ~ T~ Slal~ (~l~ a ~p~ ~m 41S ~ ~ slal~ ) <br /> <br /> l~l~d Iff this S~temnt ~tees ~w~ch ~ ~ ~ledge t~ ~e pr~ib f~d to receive c~ri~tio~ or <br /> ~ ~ ~F~H ~ c~l~: to ~e~t.res ~ ~ ~ c~. <br /> <br /> I <br /> <br /> ~p~e. I ~[y u~ ~y at ~ ~ ~ ~ws al ~ Sac o[ ~i[~ia a~ ~.1~ ~ ~ a~ c~pl~c. I ccni[y .~r ~lty at ~rju~ u~ I~ <br /> S~le ol Cal~o~l Fair ~llcl ~aclices C~sslon. <br /> <br /> <br />