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Please type or print in ink. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />7 T r <br />j1J A)­; C <br />1. Office, Agency, or Court <br />Agency Name <br />C't <br />Division, Board, Department, District, if applicable (Your Position <br />FE— <br />P� If filing for multiple Positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at least one box) <br />F1 State <br />El Judge (Statewide Jurisdiction) <br />Ej Multi-County <br />❑ County of <br />g-6ty Of V L 3 <br />[Ell Other <br />3. Type of Statement (Check at least one box) <br />.Aninual: The period covered is January 1, 2010, through December 31, Leaving Office: Date Left <br />2010. .0r- <br />(Check one) <br />The period covered is I through December 31, 0 The period covered is January 1, 2010, through the date of <br />2010, <br />leaving office, <br />❑ Assuming Off ice; Date ____l <br />0 The period covered S through the date <br />of leaving office. <br />E] Candidate: Election Year Office sought, <br />if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." <br />� Total nurnber of pages including this cover page: <br />S c hedule A-1 - Investments - schedule attached <br />KFI� <br />chedule C - Income, Loans, & Business Positions - schedule attached <br />l eschedule <br />El Schedule A-2 �- Investments -- schedule attached <br />ID - Income - Gifts - schedule attached <br />El Schedule B - Real Property - schedule attached <br />El Schedule E - Income - Gifts - Travel Payments - schedule attached <br />'Or. <br />it None - No reportable interests on any schedule <br />5. Verification <br />I have used all reasonable diligence in preparing this statern, <br />herein and in any attached schedules is true and complete, <br />MAILING ADDRESS STREET CITY STATE ZIP GODE <br />