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<br />PC SA Supplement to Second Pre/Post-Election-Contributions <br />please type or print legibly in black ink; list only one entry per line <br /> <br />rev 1/06 <br /> <br />.!- name of commltteeuse full name <br /> <br />committee ID number <br /> <br />e t.t-'\~ p~ t0t:M.J f'~c.. <br />o Primary 20 --<i> General200f.D 0 other: <br /> <br />page <br /> <br />01_ <br /> <br />o 1st Supplement to the 2nd pre-election ~ 2nd Supplement to the 2nd pre-election <br /> <br />o Supplement to Post-election <br /> <br /> <br />Business Entity <br />C Political Committee <br />F Candidate's Immediate Family <br />I Individual <br />L Labor Organization <br />o Other <br />P Political Party Committee <br /> <br />CO Cosigner Obligation <br />IK In-Kind <br />LR Loan Received <br />PC Pledge of Cash <br />PI Plege of In-Kind <br />PL Pledge of Loan <br /> <br /> <br />o tl. , .Db <br /> <br />*occupational information includes occupation, employer's name, city and state or self-employed <br /> <br />~ <<o-olStIl'\- <br />4\31:...0 ~~MQ/l ~ <br />- -~t~-9-"]-~ <br />~. ~~, CoadA- <br />. ~. I ClD Iou.A ~. (N2.. <br />1 <br />I <br /> <br />i <br />1$ 2- ODO <br />i ' <br />un j <br />I <br />! Cf' <br /> <br />I <br /> <br />1$ <br /> <br />I <br />I <br />1-- <br /> <br />. I <br /> J $ <br /> I <br /> I <br /> i <br />. i <br /> I, <br /> i$ <br /> - <br />. i <br /> 1 <br /> i $ <br /> i <br /> -~ <br /> <br /> <br />for office u <br /> <br /> <br />SP-iA-1 f'--) -V f'.J ~ <br />I, name of candidate or treasurer <br />hereby certify that the above statement is true and correct. <br /> <br />~ <br /> <br />"5:;;~'t ..~ ~_N <br /> <br />NOV 0 3 2006 <br /> <br />signature o{candidat:eor treasurer <br /> <br />H..2...oC&, <br /> <br />CITY RECORDER <br /> <br />date signed <br /> <br />PC SA <br /> <br />see instructions on back and in Campaign Finance Manual <br />