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<br />required information (if no relevant information, list "None") <br /> <br />J. occupation present employment - paid or unpaid <br /> <br />If" T', 1'-'<< J <br />occupational background previous employment - paid or unpaid <br />Vec../f I () ~ 5' A J'- ; 1 _ <br />\... 11 ~o.1 v~ I- ~ IV I t'7 S ,; It) J; ~ ( .L..- L ) <br />C' I..., Y~A _, $^ <br />(.. v i -e /~.. J.. (!J W IV ,. t: I.U .v b,~ I, ~ ~ IV L ,... <br /> <br />J. educational background schools attended, use attachment if needed <br /> <br /> <br />/.... CV(!/&L <br />. <br /> <br />L.. H, t! 4/ ' ,.. <br /> <br />iJlf <br /> <br />5c<.',cl....1Y <br />, , <br /> <br />other <br /> <br />J. prior governmental experience elected or appointed <br /> <br />(.' <br />-- v 1 t -J1., ~ <br /> <br />(' ,'T'... <br />I <br /> <br />C h a f/. T R ^- IC.e I,di c. c.P <br /> <br />t! tJr.... h'\ II T..L €- <br /> <br />By signing this document, thereby ~tate: <br />~ that I will accept the nomination for the office indicated <br />~ that I will qualify for said office if elected <br />~ that all information provided by me on this form, including my occupation, educational and occupational background, and <br />prior governmental experience, is true to the best of my knowledge <br /> <br />Check the appropriate box (not applicable to candidates for federal office - US Senate and US Representative): <br /> <br />P(By marking this box, I certify I do not have an existing candidate's committee and J do not expect to spend more than $300 <br />or receive more than $300 during each calendar year, I understand I must still keep records of all campaign transactions <br />and if total contributions or total expenditures exceed $300 during a calendar year, I must follow the requirements detailed <br />in the 2008 Campaign Finance Manual. <br /> <br />o By marking this box, I certify that I have already filed or will soon file a Statement of Organization for Candidate <br />Committee (SEL 220). For detailed instructions, see the 2008 Campaign Finance Manual. <br /> <br /> <br />;:; - 7- cJ Jl? <br />date signed <br /> <br />for office ':Ise only <br /> <br />~.... <br />I / lr.' ./ <br />I I ials <br /> <br />RECE\VEO <br />fEE 1 c~_o number <br />erN R~R <br /> <br />RECEIVED <br />FEB 0 7 200~eiPt number <br />Crrv-RECORDER <br /> <br />candidate committee 10 number <br />