Norman Goodrich - 1975/01/07 - 1975/01/20
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(Interim Farm)
CANDIDATES CAMPAIGN STATEMENT
SHORT FORM
Form 470
(GOVERNMENT CODE SECTION 84200-84214)
Period 1._ 7 - 7 J'-- through /._).~ - "7,J
I A
A candidate for whom not more than $200 has been received or spent on behalf of his candidacy may file this short form.
NOTE: Once contributions or expenditures exceed $200 for the ENTIRE CAMPAIGN, the candidate must file Form 430.
Name of candidate ~ I mirY?
Residential address
~Jd ""l-v
(ZIP CODE)
Cfof- P''(2-- 1 S""7 (j
Phone 0
(AREA CODE)
Business address
7J7 2-d
ZIP CODE)
'Ie) 9- ~v 1.-. - ..>-"'/ c;'/
Phone I'
(AREA CODE)
Type of election
&nr:rA-1 jVJtfrl!~~h-/
(PRIMARY, GENERAL, sp' IALI'
Date of election
y- '-/- 7 J--
(MONTH, DAY, YEAR)
Political party and district number (if applicable)
/~ A:.=.1 0 r' .
;Vol A-pjJ/tCAih:
Office for which you are a candidate.
VERIFICATION
I declare under penalty of perjury that to the best of my knowledge not more than $200 has been received or expended on
behalf of or in support of my candidacy, by myself or by any committee of which I have knowledge.
Execu ted on
L/1t(-1-~!.,JI /77)---
at
m ;;" d /" ~ 7' J~ ")...-CJ
I (CITY AND STATE)
?~A~~
(SIGNATURE OF CANDIDATE)