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Vella 497-2:uewpuewvJo UOSBBI sapoo Joincipwoo,. 0 0 r-ts 0 CD CD C) 3 co H > m (0 N cn 0 m eJeio ewes ss3aaav133US ct71.[.-0t.2.(0ns) H3fli4hflN 3N0Hd/3000 V3?dV Cx) P Co z c CO MW M 0) Fo CD 0) B oh CD Cl) 0 0 C (-) 0) 1:131Id JO 3INVN CD "C3 0 0 a le) 0 0) 0 O CD CD 0) CD B 0 CD pociaa uognmiluo0 L617 Amounts may be rounded to whole dollars. (0 S. zi■-.1 c) _.. a) DATE RECEIVED Sheet Metal Workers International Association Local No. 104 Political Action Committee FPPC ID#850381 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) cn-D00-2 Q)000 OH-100 CONTRIBUTOR CODE * 1 L0 00 MO 000 0 0 ---J —i 0 0 wi3002 0j-100 . . IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) O Check if Loan Ei Check if Loan 750.00 Check if Loan AMOUNT RECEIVED 0 0 r-ts 0 CD CD C) 3 co H > m (0 N cn 0 m eJeio ewes ss3aaav133US ct71.[.-0t.2.(0ns) H3fli4hflN 3N0Hd/3000 V3?dV Cx) P Co z c CO MW M 0) Fo CD 0) B oh CD Cl) 0 0 C (-) 0) 1:131Id JO 3INVN CD "C3 0 0 a le) 0 0) 0 O CD CD 0) CD B 0 CD pociaa uognmiluo0 L617 Amounts may be rounded to whole dollars.