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Feb 17 2000 07:29 HP Fax <br />• <br />CC <br />) <br />/ <br />( <br />Amounts may be rounded to whole dollars. <br />497 Contribution Report <br />0) <br />/k <br />U <br />d <br />To <br />§ <br />0 <br />05/13/2019 <br />No. of Pages <br />t.D. NUMBER (if applicable) <br />1. Contribution(s) Received <br />mm 1 <br />AMOUNT <br />RECEIVED <br />2,000.00 <br />❑ Check if Loan <br />Provide interest rate <br />Q Check if Loan <br />Provide interest rate <br />0 Check if Loan <br />II % <br />Provide interest rate <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELF.EMPLOYEB, ENTER NAME OF BUSINESS) <br />] <br />CI) <br />H GI <br />CONTRIBUTOR <br />CODE * <br />20( 0 <br />/0= <br />III ■■■■ <br />0 F- 0 <br />/Qo[m <br />■III ■S■ <br />0( § <br />2oo(m <br />■■■■■ <br />FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />OF COMMITTEE, ALSO ENTER W. NUMBER) <br />0 <br />0 <br />) � <br />j <br />DATE <br />RECEIVED <br />01oCIino <br />'Contributor Codes <br />\ <br />Reason for Amendment: <br />