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Tickets Provided by <br />Agency Report Public Document TrCAMPROVIDED UY <br />AGENCY REPORT <br />City ,of Riverside <br />T <br />ui+ri5ian. uepartmen1, or Kegion Iif aj*facabfet I <br />Development Department <br />3,900 Mairi Stfeet, Riversido, A 92522 <br />951-826-51549 1 specialevents Priversideca.gov <br />Margie deli u, pl. IMeIif7 PIo ect Manager <br />2. Event For Which Tickets Were Distributed <br />`;CAI es '!'mss r'`d <br />s- <br />fr*f Oflk [ Uso Only <br />Anaettdriterit rVUtlt a""are a°dq 5 J <br />Date of Original Piling: 21210 <br />fdPWYA3 4,. Offly.. A ? <br />Date(s) of Event: 1 1 23 f 10 D iptirn of Event. Performance of °Singin in the Rain' <br />1 1 31 1 10 Face Value of Tiick€t 37,x=0 <br />Agency Event [I Yes i] No (identify source of tickets below.) <br />Name of OuWde Source of Tic ot(s) Pruvi Jed to Agency. P'ertormanr_e Riverside <br />Number of Tickets Received: Ticketis) Provided to Agency. ClGraluilously 21 Pursuant to Contract <br />3. Agency Official(s) Receiving Ticket(s) (use a continuation sheet for audit oral r amt e l <br />Name of Offiriai fir ru trer ~ Stale'kPWhether the ~t~~~rE~rcl~ti,E is Income to the Ofificlai or <br />iLasl. Fersrl of - i w.cdl;, Nscni the Purilc P . rxi se for tho Distribution <br />eel; atl!ached II,s1 <br />4. 1ndividtaaf or Organization Receiving Ticket(s) Prcvoded at the hest of an agency offidall.) <br />Narne of Behesting Agency Official. <br />Name of Individual or Orgariizal on Number of Ticket& <br />Description of Organizatiorr <br />Address of Orsganiz atilom <br />"Wusnw. and arw crey 11,20 Zip t;*& <br />Purpose for Distribution: 10ascrba tha oablic i7urjDose for sale distribution to Me organization.) <br />5, Verification <br />f t . w r r+ rrrarrt } t,iP,at the dVstnbudice-, of ! ckets Sol forth i7bo ✓e i5 in a Ct iaa iwfh, the proosrorrs c-d FiP'PC Regulafrorr 18944. 1 <br />A% fR Deanna Lorson Development Direc1Qr ~ ~ 4 A[ { <br />sir,-.i~li;ro are 5,jncy Hem or Omgnct Prom tJdranu T t.? fnxsro. rdyl)mans <br />Common t: (Else Itus apace or an af.i!ac nwnf ftr any aadita'rraf uafarr aro )ra rr ~ r.°~ r+~ r~rr v ri Ira3ias¢ t . P" ar) j le ll <br />FPPC Form 802 IFvtM) <br />FPPC Tnil.Ftne Helitllne: 86611A,SK FP`PC Itrttrir275.377'7k <br />