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Diana HerreraSTATEMENT OF ECONOMIC INTERESTS CALIFORNIA FORm 70 FAIR POMCAL PRACTICES COMMISS!% COVER PAG iTY OF ROSEMEAD Please type or print in ink nUPLI CATS A. Public DOL'ume 1 12003 Date Received Official Use Dnly 'NAME - (LAST) (FIRST) He re r oL Dic MAILING ADDRESS STREET _ CI (May be business address) 343' -9 N DelfiQ` Ed o. (MIDDLE) DAYTIME TELEPHONE NUMBER 3 ���l ��►K�1Wr-F(IEU) 3o`l -(94 ry ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS R CA. q0-70 1 . Office, Agency or Court Name: Tp 5{ vYlle o._J C� 4-( a Division, Board, District, if applic 0. V% YN 1 V%, q Co V ill A 1551 'b" Position: If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of City of two ❑ Multi- County -. ❑ Other 1 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: —J �— A nnual: The period covered is January 1, 2002, through December 31, 2002. -or- 0 The period covered is —_J—, through December 31, 2002. ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 2002, through the date of leaving office. -o r- • The period covered is _/__J through the date of leaving office. ❑ Candidate 4. Schedule Summary (Check applicable schedules or "No reportable interests. ") — During the reporting period, did you have any reportable interests . to disclose on: Schedule A -1 ❑ Yes - schedule attached Investments xass man ion ownership) Schedule A -2 ❑ Yes - schedule attached Investments (10% or gear., ownership) Schedule B - ❑ Yes - schedule attached Real Property - Schedule C ❑ Yes - schedule attached Income & Business Positions pnwme other than Loans, Mint, and Trav f) Schedule D ❑ Yes - schedule attached Income - Loans Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F ❑ Yes - schedule attached Income - Travel Payments -or- .. P1 reportable interests on any schedule Total number of pages completed including this cover page: - 5. Verification I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 043 1 8— 03 (month, day, year) Signature 4 — MR- a ile the originally si d statement with your filing official.) FPPC Form 700 (200212003) FPPC Toll -Free Heloline: 866 /ASK -FPPC