HomeMy WebLinkAboutDan Carpenter - Supplemental - 10-04-2012`
city of
san tu)s mispo
990 Palm Street,
San Luis Obispo, CA 93401.3247
Tel; (805) 781 -7100
Fax(805)781-7174 eoano @slooity.org
COMMITTEE NAME
Supplemental Campaign
Contribution Statement
Amendment
(City of San Luis Obispo Municaipal Code Ch2.40.060 & Ch2.40.100)
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CANDIDATE NAME
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TREASURER NAME
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OCT 0 5 2012
CONTRIBUTION PERIOD STARTING DATE (MMIDDrfM)
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CONTRIBUTION PERIOD ENDING DATE (MM /DD/YYYY)
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TOTAL EXPENDITURES TO DATE
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Monetary Contributions Received
Amounts greater than $50 but less than $100, contributed during this period.
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Monetary Contributions Received
Amounts greater than $50 but less than $100, contributed during this period.
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Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained
herein is true and complete. I certify under penalty of perury under the laws of the State of California and the City of San Luis
Obispo that the foregoing is true and correct:
Executed on y
(Date)
I have reviewed this statement, and to the best of my knowledge the information contained is true and complete. I certify under
penalty of perjury under the laws of the State of California and the City of San Luis Obispo that the foregoing is a true and
Executed on [ �= by
(Date)