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STATEMENT OF ECONOMIC INTERESTS CITRECEIVED
Y OF ROSEMEAD
COVER PAGE MAR 272U'-
it it 3 OFFICE
c "rte rF A. II iIIRS,I r L. .
ENG NANCY H.
1. Office. Agency, or Court
('I ?Y OF ROSFMEAI) PLANNING COMMISSION
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MEMBER
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2. Jurisdiction of Office (cheek at feast one boxl
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3. Type of Statement (check it Insist one box)
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Anwal na i_ ��
'Ir ugh L Leavyng Once. Dale I''1
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Assuming Office Dji7 nxl --
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III date If leaf,, ".S
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4. Schedule Summary
Check applwebfe schedules or "None.'
w Total number of pages including this cover page:
❑ Schedule A -1 - «s < r,, - rc. Cu, , i..
❑ Schedule C r i L.,e= 3 H ., c o „s Cedrh arrc red
rl Schedule A -2- r _ -sch 'ache]
i� Schedule D- -ff' 11,rlddt 2tte:her
_Sortable B -he °f i- shell- rttrrrod
I-i SchtedrileE 13 fts 72_ ay', ; -s IeI aehe;l
or-
W-1 None
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5. Verification
P.0 BOX 115 Rosemead CA 91710
I n
06 289 -7032
Ih..e c - idr inn ... re. Ill i.ve Se t I s ,ifte ect it 4 to tl'C best of r, I, Se 4-1il'i fil n3t SI it-,
I a I, cr , c eo.,rl oju'.cs is n l ai tl „rpet_ ac Sse -r]e f nimu, Ceumev
I certify under penalty of penury under the laws of the State of California that the foregoing Is true and correct
03i2720"b
Data Sinned Sgnature
FPPC Form 70012013/20101
FPPCAdviee Email: dmhcepfppc. ca. tax
FPPC Toll free Helpline. 866/275 -3772 www.fppc. ce.gov