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<br /> <br />a ~ <br />CITY~.' ~~ <br /> <br /> <br /> <br />~...e- <br />Within the previous year no rr/. -'-/,..--"__ ~~ ',s made <br />one or more contributions that in 1 (/ ~t I~v ~./7Z h ~ <br />- r:~?' #7 , <br /> <br />~-b33~c;,.';)b gate is <br /> <br />Clud MU1~)~ , <br />~.> jJ ( "occupatlOTI <br />if self em 10 ed <br /> <br />Within the previous year th( <br />organization( s) has (have) made 0 <br />(are) greater than $50. <br /> <br /> <br />re-hrei r <br />No-t~~ -/-0 <br />.;110'+ ~-1 [) <br /> <br />lipJ.. <br /> <br />./ <br />~ <br />~. <br />c: ~, <br />-;:? <br />y <br />><~ <br />~ <br />\. <br />\ <br />~ <br /> <br />" <br /> <br /> <br />~'::~ <br />/e <br /> <br />...s:-~ :7 <br /> <br />...z. <br />X Ox <br />o )" <br />\ ~~i'\ <br />'</0 'v <br />0'~ <br />~ <br /> <br />(Use additional sheets, . <br /> <br />Signature <br /> <br />s.-- <br /> <br />Period of time covered by this r <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />