Peggy Doherty for City Council Committee 497Late Contribution Report Type or print in ink.
Amounts may be rounded to whole dollars.
l.D. NUMBER (if applicable)
STREET ADDRESS
to Report No. ___ _
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CITY STATE ZIP CODE
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· ·te Contribution{s) Received
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE*
Dnve.. fb1rt11t"l(L-('vN{) A-FFJ/.,/Afr/) Wtflf Tift D IND
CJ f 1~.rh!li D COM !/ -'f-o o f N 1-f..Yfld.-rl c?YJti/ 13 r c Mer A <1t,1cl ,) b;a-OTH
IVMH1Nl-, <Oil.! J)<:_ L O/u, I
D IND
D COM
DOTH
D IND
D COM
DOTH
D IND
D COM
DOTH
D IND
D COM
DOTH
*Contributor Codes
IND-Individual COM -Recipient Committee OTH -Other
I erk' s Office
IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED
/i I (JcJO -
FPPC Form 497 (8/99)
For Technical Assistance: 916/322-5660
State of California