HomeMy WebLinkAboutJohn Spatafore - Supplemental - 05-07-2013city Of
:
san LUIS OBISPO
990 Palm Street, San Luis Obispo, CA 93401 -3247
Tel: (805) 781 -7100 Fax: (805) 781 -7174 ecano @slocity.org
COMMITTEE NAME
Supplemental Campaign
Contribution Statement
(City of San Luis Obispo Municaipal Code Ch2.40.060 & Ch2.40.100)
Page —L of
Date Stamp
RECEIVED
MAY 0 9 2013
SLO CITY CLERK
For official Use Only
ID NUMBER
COMMITTEE TYPE
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CANDIDATE NAME
TREASURER NAME
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CONTRIBUTION PERIOD STARTING DATE (MMIDD /YYYY)
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CONTRIBUTION PERIOD ENDING DATE (MMID
Monetary Contributions Received
Amounts greater than $50 but less than $100, contributed during this period.
DATE RECEIVED
-FULL NAME OF CONTRIBUTOR
FULL ADDRESS OF CONTRIBUTOR (STREET, CITY, STATE, ZIP)
AMOUNT OF
CONTRIBUTION
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Monetary Contributions Received
Amounts greater than $50 but less than $100, contributed during this period.
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DATE RECEIVED
FULL NAME OF CONTRIBUTOR
FULL ADDRESS OF CONTRIBUTOR (STREET, CITY, STATE, ZIP)
AMOUNT OF
CONTRIBUTION
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Monetary Contributions Received
Page 3— of
Amounts greater than $50 but less than $100, contributed during this period.
AMOUNT OF
DATE RECEIVED FULL NAME OF CONTRIBUTOR FULL ADDRESS OF CONTRIBUTOR (STREET, CITY, STATE, ZIP) CONTRIBUTION
TOTAL $� 7?2 . --
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 perjury under the laws of the State of California and the City of San Luis
Obispo that the foregoing is true and correct.
Executed on
by
(Date) (Signature of Treasurer)
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
-: 7 0
(Date)
by