|
Contribution Card
24th Council District, Queens
Committee Name:
Friends of Renee Lobo |
To comply with Campaign
Financing Report Rules, please give the following information:
Employer:____________________________
Occupation:___________________________
Business Address:_____________________
I understand that State
Law requires that a contribution be in my name and be from my own funds,
I hereby affirm that this contribution is being made from any personal
funds, is not being reimbursed in any manner, and is not being made as a
loan.
________________ _______________
Contributor's
Date of Contribution |
