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HomeMy WebLinkAboutForm 497- Randy Warren for City Council 2013 (2013-10-17) #4Amounts may be rounded to whole dollars. Date of 10/17/2013 This Filing DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED I I 10/23/13 San Rafael Yacht Harbor San Rafael CA 949012 Reason for Amendment: 0 IND El com OTH PTY El SCC El IND 0 com 17 OTH [:1 PTY El SCC Bob=* 6-r-0-fficial Us -e -10 -n - r: 1 & lkl l� o I 12 irrn e C; A- eirk� --z 0-ri EJ In IF AN INDIVIDUAL, I AMOUN ENTER OCCUPATION AND EMPLOYER RECEIVE] OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 27500 Check if Loan Provide interest rate El Check if Loan Provide interest rate Nrl, A0% OW Oft 4u t uontribution Report Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER' Date of 10/17/2013 This Filing Report No. 4 to Report No. - (explain below) No. of Pages 2 CANDIDATE AND OFFICE AMOUNTOF OR MEASURE AND JURISDICTION CONTRIBUTION DATE OF ELECTION (IF APPLICABLE) FPPC Form 497 (March/2011) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)