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Date Signed 06/01/201611 44AM month day year Signature ----- E l e ct r o n ic S u b m is s io n ---- IFile the originally signed statement with your filing official. FPPC Form 700 2015/2016 FPPC Advice Email advice fppc.ca.gov FPPC Toll-Free Helpline 866/275-3772 www. Type of Statement Check at least one box D Annual The period covered is January 1 2015 through lJ Leaving Office Date Left Q j December 31 2015. NAME OF FILER LAST FIRST Claybar Jr. MIDDLE James Michael 1. Office Agency or...
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