Committee to Elect Marie Gilmore 497Type or print in Ink. late Contribution _Report Amounts may be rounded to whole dollars.
NAii/iE OF FILER Date of
CtJ o 15, 6-C"?' H 4 /LIS (f J t /e~d.K /7 This Filing l..----"--='-1---~P:...
AREA CODE/PHONE NUMBER l.D. NUMBER (if applicable) I•
Report No.___,_ ___ __._
STREET ADDRESS D Amendment 0 f5 t1 to Report No. ----r'lo111tt ... -C-ITY-L-=-----==-----''---"'---C--F--------S-TA_T_E ___ Zl_P_C_OD-E---~ (explain below) /
No. of Pages ____ _
Late Contribution(s} Received
I
DATE
RECEIVED
o/~11Jt/
*Contributor Codes
IND-Individual
FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.D. NUMBER)
IN ;-e )It ,A/ As i /tJN /d t,. -1-S '!:' e, Cl~ J-/ tJAI tfl _;-
FI I(. G'FI~ rf/B /.l~ '-<'C~ t.. ~ /J
~
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PTY -Political Party
COM-Recipient Committee (other than PTY or SCC)
OTH-Other
SCC-Small Contributor Committee
CONTRIBUTOR
CODE*
D IND
D COM
)2r"OTH
0 PTY o sec
D IND
0 COM
0 OTH
0 PTY
D sec
D IND
D COM
DOTH
0 PTY o sec
Reason for Amendment:------------------------------
IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED
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FPPC Form 497 (June/01)
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