HomeMy WebLinkAboutCARTER 497 10/14/16497 Contribution Report
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&EA CODFPHONE NUMBER IO. NUMBER .P(FSW
_ _ 1122301±
STATE III, r o
1. Contribution(s) Received
Amounu maY rountlM towhok dollars.
Dab Stamp
Data of 6'CT 14 PM I
This Filing 1'./19/mis_
Report No. 3.1316 -1 GA Lnili.i U I;IIY
Amendment
to Report No.
E S.,0.w wl
No. of Pages 1
AND ZIP CODE OF CONTRIBUTOR
CONTHIBU'r2R
IEANPDIVIDUA-. Ak10uNr
ENTEROCCUPATIONAND EMPLOYEfl RECENED
DATE
FULL NAME. STREET ADDRESS
CCDe
9EtS£MG�vFL.ENIEa MaMFOFeuSU+F58f
RECEIVED
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to /la /emsI!rom
cameo :ell. Pe�cnl Ao nt-
° IND
p OTH
CM1eck if Lorin
° FTY
° scc
P.W We i�la „ar pare
IND
❑ CM
° OTH
❑ Cherk if Loan
PTY
SCC
"—r. r.,. 1 rste
° IND
1 CAM
I] OTH
❑ ChFAk if Loan
❑ PTY
__ P.omoa lm „art rxlr
'Co ntributorC Ro
IND- .Mivitlual
Recipient Committee (other Pmn PTY or SCC)
COM -
01H - Olher (e q., business ent :1Y)
PTy - Political Party
SCC - Small CoVibator COm?•Vee
_ __
Reason or Amendment ___. —_ - - - ----- -
FPPC Form 497 (Jan=16)
FPPC AMiee: ad 1oe@"C -oe'gw (866M1 3772)
www.fPPe.sa.9.
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