Resolutions - Jersey City

"c. 271 POlmCAL CONTmlNDISOSURE FORMRequired Puruant To N.i.S.A. i9:44A-20.~6This form orits permitted facsimile mùst be submitted to the loèa unitno later than 10 days prior to the award ofthe contrct.Par I - Vendor lnformationIh:~i~g:t:' ~ Q?Q3QfolI.The undersigned being authorid to certify,.hereby certifies that the submission provided herein representscompliance with the provisions ofN.J.S.A. i 9:44A-20.26 and as represented by theInstrctons accmpanying thisPart 11- Contrbution Disclosure,CIElPcF fim.Printed Name'fESlDEaJI.TitleDisclosure requirement: Pusuant to N.J.S.A. 19:44A-20.26 ths disclosue mus include a1lreportble. political eontibutions (more than $300 per election cycle) over the 12 month pror to subirssIon to thecommttees of the governent .entities listed on the form prvided by the local unt. .o Check here if disclosu is provided in electronic 'form.Contrbutor Name RéCIDlent Name Date DoUar Amount$. ..,... .,.oCheck. hei:e ifthe inormation is continued on subseuent page(s)