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HomeMy WebLinkAboutRIVERA 497 05/21/13497 Contribution Report Type or print in ink. Amounts may be rounded to whole dollars. 497 CONTRIBUTION REPORT Rivera City Date of Date Stamp p • ffor� Council 2013 RECEIVED (IF ,rte Also � I.o. DER) • , (IF sttiF4EMPLoreo, ENTER NAME or euse:ss) Riin 05/21/2013 9 05/2112013 e ❑ IND 13 MAY ? P 1 Official Use Only AREA CODEIPHONE NUMBER I.D. NUMBERIffwpbcable) Report NO. 05212013 - ❑ OTH ( 1354555 < ^ �`t l ti .. '. • � !' (. , ! _ C R K STREETADDRESS ❑Amendment ❑ SCC No. of Pages 1 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF ,rte Also � I.o. DER) CODE * (IF sttiF4EMPLoreo, ENTER NAME or euse:ss) RECFVED 05/2112013 Rubio for Senate 2014 ( #1334304) ❑ IND 5,000.00 ❑ PTY ❑ SCC Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC % Provide interest rate ❑ IND ❑ COM ❑ OTH ❑ Check if Loan ❑ PTY ❑ SCC x Provide interest rate Reason for Amendment: www.nedYle.com *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g_, business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 497 (March12011) FPPC Toll -Free Heipline: 866 /ASK -FPPC (8661275 -3772) a --c N N O w c l�1 0 w N b t= rn 0 ro O E3 10 a x z 0 co rn W L.0 w W .P- -0