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DAVID HERNANDEZ for Lt. Governor
PREFER TO MAIL? Send your check To: David Hernandez for Lt Governor___ PO Box 9694___ North Hollywood, CA 91609___ (Donation $ 1 - $7,300 / person), ___Please include your Name, Address, Area, Employer, Occupation)
B A C K
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$1,000
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$7.300 Single Person
$14.600 Couple
FIRST NAME:
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LAST NAME:
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EMAIL
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ADDRESS
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ZIP CODE
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*Employer and Occupation:
The
Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation
.
EMPLOYER:
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OCCUPATION:
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VOLUNTEER
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"Thank You for your Donation" ...DAVID HERNANDEZ for Lt. Governor