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Recipient Committee COW. PA~E <br />Campaign Statement Type or print In ink. Date Stamp <br />Cover Page ~ ~ ~I!'! ~ <br />(Government Code Sections 84200-84216,5) <br /> Statement covera period Date of election <br /> <br /> from ~7_/~'~) ~ (Monlh, Day, Year) JAN 3 1 2003 P.ge__ of --~ <br /> For Official U~ Only <br /> SEE INSTRUCTIONS ON REVERSE through ''/~ * ~/--~ ~ C~TY OF RED'MOLJ. ~,, y <br /> CiTY CLERK <br /> <br /> t. Type of Recipient Commiffee: A# Co~IU~s - Complele Pa~ ~, 2. 3, and 4. 2. Type of Statement: <br /> ~ Officeholder, Candidate Controlled Committee ~ Ballot Measure ~mmiUee ~ Pmele~on S~tement ~ Quadedy Statement <br /> O SlaleCandidaleElecfionCommiS~ O PdmadlyFo~ed ~ Semi-annuaiS~tement ~ S~cial Odd-Year Rep~ <br /> O Retail O Conboll~ ~ Te~inaUon Statemenl <br /> (N~5) O S~nsored ~ SupplementalPreel~n <br /> (~eP~) ~ Amendment (Explain bel~) S~tement*Alta~ Fo~495 <br /> ~ General Pu~se Committee <br /> O S~nsomd ~ Primarily F~m~ ~ndidate/ <br /> O Small Con.buret Commitl~ Offi~holder C <br /> O Politi~l Pady/~ntral Comm~ee (~e Pe~ z) <br /> <br /> 3. Commi.eelnformation J,.O..UMBE~ /~g~ Treasure,s) <br /> COMMI~EE N~E (OR CANDIDATE'S NAME IF NO COMMI~EE) NAME EASU R <br /> <br /> <br /> NAME ASURER, <br /> <br /> S ( FERE~T) NO. AND STREET OR P.O. ~OX MAILING ADDRESS <br /> <br /> CITY STATE ZiP CODE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE <br /> <br /> OPTIONAL: F~ I E-~IL ~DRESS OPTIONAL: F~ I E-MAIL ADDRESS <br /> <br />4. Verification <br /> I have us~ all reasonable diligence in pre~dng and reviewing ~is s~te~nt and to the best of my knowledge the information ~ntain~ herein and in the arrayed s~ules is ~ue and ~mplete. I <br /> ~i~ under ~nalty of~.~[[erju~ under ~e la~ of the State of California ~at the f~egoing is tree and ~ffect. ~j/~ <br /> <br /> <br />