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HomeMy WebLinkAboutMERRILL 497 05/13/16f) 497 Contribution Report f) Typo or print In Ink Amounts may he rmmad ts whole dollop. C) 487 CONTRIBlIMON REPORT NANB OF NLER MERRIL leac De o � Filing a Stamp g AMOUNT RECEIVED 007 ( MAY 13 PM 3105 or Offical Use Only M CODE ENUMBER I.D. NUMBER(NAWA ) !38345-9 Report BA ❑ Re o Report No. to Repoli No. (fines ) No. of Peg" Ei%i[ IGLU CII Y CLFft CITY STATE ZIP CODE 1. Contribution(s) Received DATE RECDVED FULL NAME, BTNEEf ADDRESS AN0 ZIP CODE OF CONTRIBUTOR VFCaMMne .IMOml.o.N.MaeR) CONTRIBUTOR CODE IF AN INWDUAL, EN IF weFisers�mw,ermnuwe of wexaeel AMOUNT RECEIVED S 3 i �� P CVMrL'� GNP.�t571 ?�' MF'D�G1G SE+w��oS ❑ ]NO ❑ COM [5'/OTH ❑PTY Cl SCC C4tiheek K Loan 0 e vrwxN Ma.N nw ❑ IND ❑ COM ❑ OTH ❑ Check M Loan ❑ PTY ❑ SCC z PnMM IMemr ieN ❑ IND ❑ COM ❑ OTH ❑ Check p loan ❑ PTY ❑ SCC " PNVW Meets Tent Reason forAmere men0 "Conblbutor Coda IND - Indlrldual COM- Reciplant Committee (other then PTY or SOD) OTH - Other (e.g.. buebwae anbty) PTY - Pdlgoal Party SOC - Small CDntdbuW Cornmeal FPPC Form 497 (March/2011) FPPC Toiliree Kelpline: BWABK•FPPC (860127"772)