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497 Soubirous (05-22-15)_R
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Late Contribution Report <br />NAME OF FILER <br />Re -Elect Mike Soubirous to City Council 2015 <br />AREA CODE I PHONE <br />STREET ADDRESS <br />CITY <br />Riverside <br />Late Contribution(s) Received <br />I.D. Numb (if applicable) <br />1355581 <br />STATE <br />CA <br />Date of <br />This Filing 05/22/2015 <br />Report No. tom- 20150521 <br />Amendment to <br />RptNo. <br />ZIP CODE <br />- No. of Pages: 1 <br />LATE CONTRIBUTION REPORT <br />For Offal Use Only <br />DATE <br />RECEIVED <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />IF AN INDIVIDUAL. OCCUPATION <br />g EMPLOYER or BUSINESS NAME <br />IF COMMITTEE - ID NUMBER <br />VED <br />RECEIVED <br />05/21/2015 <br />Mission Ambulance Inc. <br />OTH <br />1,000.00 <br />=% <br />Corona R <br />[:] Check if Loan <br />Provide Interest rate <br />" Contributor Codes OTH - Other (e.g. business entity) <br />INO - Individual PTY - Political Party FPPC Form 497 Merch/2011) <br />COM - Recipient Committee (Other than PTY or SCC) SCC - Small Contributor Committee FPPC Toll -Free Form 868►AS h12011 <br />BMT5 -3772 <br />0 <br />a <br />3 <br />CD <br />r <br />m <br />C-1 <br />0 <br />3 <br />>a• <br />z <br />a <br />a <br />O <br />Cn <br />V <br />Co <br />Co <br />rn <br />w <br />Cn <br />0 <br />cn <br />N <br />N <br />N <br />O_ <br />Cn <br />A <br />A <br />IV <br />W <br />N <br />'O <br />O <br />O <br />O <br />O <br />
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