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Norman Goodrich - 1975/01/21 - 1975/02/16 ~ ~'~~~":-", \ ',',. \ -~,..,....;. -~'-~ ': :.; --~~~~.:;) ~J''-"'"-I.,./! .~,~:~ :~::~v., '~ by 2-20-75 (I r, t d Wi :- ,"'-: / '':;ATES CAMPAIG~1 STATE!.\E~rT SHORT FU;:V,\ ":";1 t.70 ::-:C',\\::'~IT CO,X: sr'CTION e,;20>-3,t<-1,;) ,_~_2:rIJ(1.t:.v_l1L~L~ thwuSlh Fg9.(V.i~..rJ{.1hJ,_975 Im,;~....... ______~ '~I_,__A_'___'_"" ~_~'-,"<'. 1-\ cJndicbtc: I)r ,'Ihorn not more t~1Z\rI s~...~ c~ t:;"il r8ceived or spent (;'1 L?hc;!f of his c2nc:id3cy may file thi;,; ~-;!Jod fOim.. NOTE: Onc8 cCJ:'ltribution5 01 cxp,mdi~'.... ,<ceed $200 for till:) Ei'nlliZ: C/,;..i?AIGi"J, the candidate id'Jst file Fo;m ;';:;0. l'!ama of cancidate .~ko r:...f'J1 !J:2:l_~~__~'c>.d rl ,'~' R3sidential 2~dress _I G 6 0 C~dr/-:.1.:!.:.L. tfr' /1"0 r ~,4-. Y:rz yJ Phone ~6<P),f0l- - j j-) i.) (:--JO~ AND STt-1c~:':T' ,CI-fY) (STf.-rE) (ZIP COD~) -<Ai~~ACO'"D"~")-"''---"''''~''''''''"'''''-~ BU5;nass 2dd, m _~ -::1 t;,~ ,,~ ~d2ft!(!;J&L ~1^9 .- ~~:o :;:c;- Phone ~~;;'~-~io<"';. 31.. "/..-- Type of e!9c;ticil.. .C;.H..fl.L.../l-L~lJ,L..fJ.J'~_L/?-4 / ____,_ D3te of election. ]> ~. y_- _..2~-=--___.~,__,.. (PFllt.II\H:Y, C;"~;'-.4j::'Rj\L. SPECIAL) (MONTH. DAY. YEAh:) Office for Wflic;l you are a cdr.dicJate ._._~~ j-~~______... Political pc!i'ty o;Jd district nU!;jt,~r (if applicable) ____..--LY..61 /f ~ /1 Dq .//e ,r ~____.""..-",_._______".-n>"",__#_",:",-,;,,,~~,,,,,,,,,,,,,,",,-.~r_~_'-'_~"~'-=-""_____~ =.................".._:=-"'''''"~~-....;..-~~.~,~-~.;...,..:-.....,- .~:..~..~.~ VERlF/CATlON I declara u;1c::r p:malty 01 parjury tint to thd best of my knowled~Je not rr~or8 than $200 has b,:',:,n rac2iv8o elf (~>;p0tl,:!ed on t2~ldlf 01 or i:1 sCippo;1 of ITljJ c,~nc]jc!2CY, by rnY~"3If or cy ilny committ2B of v:hich I have knowl",rlge. Execut3d on . ~/d ._--2_~LZJ,.~~ {:J.."TE) at-_~7"__~~__L_'____-~--'---'-" ( .J lC:IYYA.Nw~T^TL:J ,&~ l$IGt"ATU,:~O::: OF CA.'~DI:),"".iE:)