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Date Signed 03/12/2019 yea <br />(month, daSignature® <br />y, r) <br />(File the onginallysigned paper statement w8h your filing oA7cfeL) <br />FPPC Form 700 (2018/2019) <br />Prim <br />65C-11 <br />FPPC Toll -Free Helpline: 866/275-3772 Ww Jppe.ca.8uv <br />P, .8 <br />