HomeMy WebLinkAboutCARSON 497 02/23/00 ate Contribution Report Typeorprint in ink.
Amounts may be rounded to whole dollars.
LATE CONTRIBUTION REPORT
"AM OFFILER ~ ' ~ Dateof ..,J /, DateStamp ~1 ~
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S~ATE ZIPC~E to RepoA No.
Late Contribution(s) Received
IFAN INDIVIDUAL,
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ENTER OCCUPATION AND EMPLOYER AMOUNT
RECEIVED (IF COMMFFFEE, ALSO ENTER 1.0. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS} RECEIVED
~ ~ND
~ COU
~ OTH
~ ~ND
~ COM
~ OTH
~ IND
~ COM
~ OTH
~ IND
~ COM
~ OTH
*Conbibutor Code~ ]
IND-lndividual COM - Recipient Committee OTH-Other
FPPC Form 497 (8/99)
For Technical Assistance: 916/322-$650
State of California