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Donation Form

Claude Parrish for Orange County Assessor 2014
Please make checks payable to: Parrish for O.C. Assessor 2014
Personal or corporate checks are acceptable. If your check is written on a joint account, please indicate whether it is attributed to __ Husband ___Wife. If your contribution is attributed to both Husband and Wife, both must sign the check. Contributions are not tax deductable for tax purposes. Maximum contribution amount cannot exceed $1,900. State law requires the following information before we can accept your contribution. ID 1351696

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Name

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Occupation or Position, Employer

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Street address

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City, State, Zip