HomeMy WebLinkAboutForm 497- Greg Brockbank for City Council 2013 (2013-10-25)Late Contribution Report Type or print in ink.
Amounts may be rounded to whole dolWs.
NAME OF FILER
Z01S Date of
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Thi's Filing 1 f
AREA CODEJPHONE NUMBER I D. N U M 8 E R ffoppkat )
( ) Report No.
STREET ADDRESS
Amendment
to Report No.
a7y STATE ZIPCODE (eWain Wow)
qq No. of Pages
Late. Contribution(s) Received
DAM
RECEIVED
FULL INAME, MEET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(F CMMMEE. ALW WTERLD- NUMSEM
CONTRIBLYTORIF
CODE *
AN INDIVIDUAL,
' ENTER OGG UPA11ON AND IENIPLOYER
OF SB.F�LOYED. M7ER WhE OF BWINE�q
AMOUNT
RECEIVED
4:1/13
IND
o" Com
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OTH
PTY
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Lj Check if Loan
IND
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OTH
01,A q0
PTY
sec
Q Check if Loan
IND
com
OH
PT -Y
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[� Check if Lo;jri
*0ofAdbutor Codes
IND — IndiVidual Ply — Pd%c4 Party
COM — Recipient Committee (other than PTY or SCQ SCC — Sma l ConbilxAor Ommgee
OTH — Other
Reason for Amend ment-
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FPPC Form *97 jJaq,103)
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