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<br />Type or )rintin ink, <br /> <br /> <br />L- <br /> <br />~ <br /> <br />I COMMmu ADDllESS (NO. AND STIIIET) <br /> <br />~ Þ <br />CITY STATE ZIP CODE AREA CODEIOA YT..f PHONE <br /> <br />~ (Jc~ 04 ~4Ð'æ.. (1 <br />NAME OF TREASURER - <br />\<)(' I4A.RD S. C!.J...AU2 E:. <br /> <br />HIIMAHINT ADOIIESS Of TREASUIIIR (NO. AND STREET) <br /> <br />~~ Þ>..S ~ {7'7f:=;6 <br />CITY STATE Z.,CODE AllEACOOEJDAYT..E PHONE <br /> <br />COVER PAGE-LONG FORM <br /> <br />Statement covers period <br /> <br />Date Stamp <br /> <br /> <br /> <br />from <br /> <br />of~ <br />For Official Use Only <br /> <br />through <br /> <br />ther Committe~ N"ll.."ItIHar'If\ ""i5 itaæment: Ustlnyot~r <br />committees not Included in this consolidated stltement \hIt Ire controlled by you 100 Iny <br />committees 01 which you tane knowledge thlt Ire primarily formed to receive contributions <br />or to mike expenditures on be,.," 01 your canrJld.cv, <br />COMMmu NAME <br /> <br />1.0. NUMlfll <br /> <br />NAME Of TIIIASURER <br /> <br />CONTROllED COMMmEU <br />0 YES 0 ND <br /> <br />COMMmu ADDRESS <br /> <br />(NO. AND STREET) <br /> <br />crrv <br /> <br />STATE <br /> <br />Zll'CCIOE <br /> <br />AREA CODfJD"YTlMf PHONE <br /> <br />COMMmu NAME 11.0< NUMlfll <br /> <br /> <br />NAME Of TIllASUREII CONTIIOllED COMMmU} <br />0 YES P NP <br /> <br />COMMmn ADOIIESS <br /> <br />(ND. AND STIIIET) <br /> <br />: 1 <br /> <br />CITY <br /> <br />STATE <br /> <br />ZII' CODE <br /> <br /> \REA COOfJDAYTlMf PHONE <br /> <br />AttICh lddItJonIllniormltlon on ,pprop",tely libeled contlnultlon sheea. <br /> <br />ntained herein and in the attached schedules is <br /> <br />Iß""ViñIiCãii 0 n <br /> <br />I have used a/l reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my kno' <br />true and comPlete/ ce¡:; under penalty of perjury under the laws of the State of California that the foregoing is tru <br /> <br />Executed on 7 ~- 7 < . At ~ 1 ~ ~ lJAu¡:::, By <br />GATE CITY AN STATE <br /> <br />An officeholder or candidate who c:ontrols a committee must also verify the campaign statement I have used all r~asonable diligence and to the best of my knowledge the treasurer has used all <br />reasonable diligence in preparing this statement. I heve reviewed the statement and to the best of my knowledge the information contained herem and in the attached Khedules is true and <br />complete> I certify under penalty of perjury u~r the laws of the State of California that the foregoing is true an~ct. ", ~ <br /> <br />Executedon1-¿;..S'-Q1 At EVWOOTJ ~J!7V CA By ~ ~ <br />DATE CITY AND STATE ) - SIGNATURE Of CANDIDATElOfflCEHOlDER ~ <br /> <br />Executed on At By <br /> <br />DATE <br /> <br />CITY AND STATE <br /> <br />Executed on <br /> <br />At <br /> <br />CITY AND STATE <br /> <br />fOR INfORMATION REQUIRED TO IE PROV1DED TO YOU PURSUANIIO IH£ INfORMATION P""CTI(f~ ACT 01 1'17. Sf( INfORMAIION MANUA~ Q!'! CAMPAIGN DISClO~UR£ PROVISIONS Of IHE POlITICAL RHORM AC] <br /> <br />DATE <br /> <br /> <br />SIGNATURE Of CANOIDATElOfflCEHOlOEII <br /> <br />By <br /> <br />SIGNAIURE Of CANDIDATElOfflC£HOlDER <br />