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497 Contribution Report
Type or print in ink.
Amounts may be rounded to whole dollars.
NAME OF FILER
BOB SMITH FOR CITY COUNCIL 2014
AREA COD EJPHONE NUMBER I.D- NUMBER (aappft&We)
CITY STATE ZIP CODE
1. Contributions) Received
Date of 10129114 4(
This Filing
Report No. AKEk
❑ Amendment
to Report No.
(explain below)
No. of Pages 1
T 29 PM 4: 12
497 CONTRIBUTION REPORT
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
RECEIVED
(IF COMIARTTEE, ALSO ENTER I.D. NUMBIEF4
CODE
(IFSELF.EMPLOYED. ErOTER*UM OF eUSNESSJ
CHRIS HAYDEN
D tND
CHRIS HAYDEN - GENERAL
1,000.00
10129/14
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
e
Provide inlerast rata
❑ IND
❑ com
❑ OTH
❑ Cha& if Loan
❑ PTY
❑ SCC
Provide d[tcest rate
❑ IND
❑ COM
Cl OTH
0 Check if Loan
❑ PTY
❑ SCC
e
Provide interest rate
Reason forAmendrnent:
"Contributor Codes
IND — Individual
CONE — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g.. business entity}
PTY — Political Party
SCC — Small Contributor Committee
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