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Name
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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.
Contributions are not tax deductible. Contribution rules
1. I am a US citizen or lawfully admitted permanent resident.
2. I am at least 18 years old.
$500.00

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Your information

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.
Contributions are not tax deductible.
1. I am a US citizen or lawfully admitted permanent resident. 2. I am at least 18 years old.
$500.00

Send Your Check to: Victor Roy For City Treasurer, PO BOX 53, OCEANSIDE CA 92068