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700 Blakeley 2014Dale T t Miling CALIFORNIA FORmSTAT WR F ECONOMIC INTERESTS Received FAIR POLITICAL PRACTICES COMMISSION R� MAf~y$�0'15 . PUBLIC • • CITY!'�� S PAGE Please type or print in ink. CITY WY OF LA QUANTA NAME OF FILER � � (LAST) 2015 � i (FIRST) � -� (NIDD l 1. Office, Agency, or Court _ ` f CALIFORNIA Agency Name (Do not use acronyms) Division, oard, Department, District, if applicab Your Position r ` ► If filing for multiple positions, list glow or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court missioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of ❑ City of ./ �� L✓�_� ❑ Other 3. Type of Statement (check at least one box) Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I— I December 31, 2014. (Check one) -or- The period covered is December 31, 2014. ❑ Assuming Office: Date assumed ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A-1 - Investments – schedule attached ❑ Schedule A-2 - Investments – schedule attached ❑ Schedule B - Real Property – schedule attached through O The period covered is January 1, 2014, through the date of leaving office. O The period covered is — the date of leaving office. and office sought, if different than Part 1: ► Total number of pages including this cover page: 3 through ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached 'or - El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) NUMBEK E-MAIL 1 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the fq e�, oing is true and correct. Date Signed (month, day, year) (File the I -)--a - d %i� the information contained official.) 4C Form 700 (2014/2015) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov V/