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Lopez -Q2 FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Lj)Jt(rl) ~. Lope2- Candidate, Committee or Party Name (3) ;/L.t1.5 ~ Coli InS, ftl)c#70 / h ICtm i Address (number and street) . City :-1 Check box if address has changed since last report (2) 1.0. Number l3ec;~-f7 33/YC State Zip Code (4) Check appropriate box(es}: 0' Candidate (office sought): \110 If' J o Political Committee o Committee of Continuous Existence D Party Executive Committee ~ 6eC1tl1 C4i; Can/1)I~'Oi) e1 o Check if PC has DISBANDED D Check if CCE has DISBANDED ~:, ,:, '~-o - ;,n :? t) ; _..,,~ C~"\ -- ....-..\ .. -r'\ .r:- c=) cf) rl'\ (5) REPORT IDENTIFIERS Cover Period: From () Lf 1~..3.3..- To DG:, I ~~ I 91 Report Type Q L [Rf Origj'nal D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $_,Q,33QO{) Monetary $_.~,DLJD.B. Expenditures Loans $-, Transfers to - Office Account $_. - Total Monetary $_,!.3-. 3~D. 00 Total Monetary $_,~. Ot{O.Ji::l In-kind $_. , 39/-1. Ct) (8) Other Distributions $_. - (9) TOTAL Mon~!'V C3triSPoons to Date (1 0) TOTAL Monrl~ Ex~~ltures to Date $ , P) I, J . 00 .. $__'1 ,0" b-ill (11 ) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, correct and complete fJ I if <:(lO ( :;(;/) V, L 2- Name ofQS('TreaSUrer D .~~ Treasurer ~ X .~..:.~, ./.' ''---. Si ature I certify that I have examined this report and it is true. correct and complete , ~ ' ~ J II Qnl Y--t. LCfC b Name of rn- Candidate 0 Chairman (PC/PTY Only) OS-DE 12 (02197) SEE REVERSE FOR INSTRU f~ I It 10 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name L 1// '0 111 ~" Lcp-e? (2) 1.0. Number (3) Cover Period fil 01 In throughC ~) l~i12- (4) Page a of r (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount I ;YG1 (lcI1)sc 'I ,l~:x'(+ I( s. 041D) Ic;Cj ')<-j 4(;~ LL) . '6 'J- s r 5 CIIE- /OI).OD h IV /J) I ) FL ,.3,3) L( _3 / ;rq LJ A-) ,\1.)<= i flbc rg (.1'-1 IDfc If9 f) Je; - f1{.-rh 51 ' ~J JCff)) I (5jf0tM/ fcj3d? =r CHL d5.CC ,:).. ()4 / / LJ/99 f{O()Sfnt.. ::;DncfedI IIj LjLjUj p,r\.L. Drl Ie; r ~f-I L I(Y) - DO ~.( I Cltl~ ) [) CG~~,-fL ~ j j Yo ,_3 N'O(~C {\\ ( (~.~c~ h (!n I tij .(J\{ ......-1 I.) 4 I/fc 179 <6/7'0 ,{I , c< j"- Celie! r\-1 c~\ 0 ! Z5.,) , \ i th(.! J'f(, h fr't J d t't 6/ B Oz.. C,w~. ;)5().(:C) 4 r::L 3:>0 i (, .,) 6(( U) L.lt) ['Yi I J.h) 1) tJ,e VI I II QLI IJOI7/ (( I\d LLJOS,S(', (\)Cr I) J fA PriNT) e '/ 1'7 C) Lt.YiSh J t1j hv\ Ave 6 CjJe- ~ 50 Do S ~I j(( J)ll 6c'c;.~j'l fL ,33 13J .,. C /-e lj n -I f C.,/ tclq(~f e. (j V /JJ/7C) .~? 0) c tJ u-' , :5 (-; /)} ~ f3 ,~dv,c.~~ C~ E--- 0 ~l) (f/i) I j n- -5:-3/ ?~{j: ~o. ()Q (~~~ S ;~({I-:rl'jn ('(Iy'P e Cyril' t;l( l:{{,119 J. ~~ 5 /T(>+~f.elc; (1\ (f) U( C I t (s Q. LI CHE- 9 "/1 q If)) ~)(rr(iA I i2~ :5...)fJC /) 5"7X) ,Ou 1-7 ' ,) 0) 6'Q ,bt I t 6DorDIIlO/l fJ-e"iC!h3:)- 11;5"/01 /19 :)CJ 4/ ::")1. CUI E- '~' ' 9X/"t.{ ()C(tcA J ft..-u1:::f; 6 '- 8 / f{1 )0 In ) OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES r~ ) 1-- 10 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name L J ) I ({ hI ~-1 - L txpe (., (2) 1.0. Number (3) Cover Period ~/J2.L1 77 through iJ G) 1,-3(} ;7/.- (4) Page . 3 of I (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount ~ I J ) )-{J ~-1- (} D{,';-f 1 ('(Il\ Ihll \ (t r O{;/l~ fl9 o<0~1 UI n)f(l~,- Pc!- ti ex\"- CI-{tLI ~)Qi-i'I/ fc 3 /:~7 {-,.) ~r W>fl' , (; Ilc3.r C~f- y[,CC c; ;( 'If I ) [yf. C / ( I el+. O;T) ~ C [~~\I'I\\) I ()5/{)3 /99 InL;J-\\t{lh{i)_(~ol rL ,)0:)1) l;/m{,-h", k1d.Jf ?-"-'L) () f\ Itljhc0 /If E ()ku, ~Jal(Lj fL ~3,_~ 7(/ 1 ~t'l'1(16r I - g(;.00 /D 6: lJ i K R"< [Ie.. t~ty(~ ~(~lJ ^ I) J5/// /71 LjJ. ~ tS. 101 ,-ST'. ' 1+-- ;O(LC) ((oIL _) 0 LI / ()()~ I 5 r,r,f) ~J(n..... - C}l( SD{j. (/0 /1 (;<(1 J I f)? -::tJ (' II c. C'tj ~({:I C O{ GJ ~~I h\'b lf~ c/ E t ' I C f . 9;{) ,<.') . /' (~ . f) 'KII\~)(/'tit\'- CJI t. (l( LHu). "-1 l{ IOO-:~ \ j,) ) O~C; 113m J3a (i ()<\ . s 6v \::1' bCfl ^ ,30! /J (-fA uf 6z/tY7rf ~{ . if. n ~r Di'1k-e1 CJ-\~ /g, [{:, ~l J (j IJlI') fZ 33/l/( )3 ;-l[J0t, N (' (fS !)f;// <-:sl;? &031 Cz,/ ) III s: /lu(' / 9-; ICf J)) J &(G/i( ~L r ~/fl s )tYJ.OO 4 /Lj 3-3/ Llc) o~/r~/7? ;Jc~( /<1';1- ,&inQ( I ~. f. c/ S lu. J C J ,~t. r CAc> Ict. co / q !IVJY)) ) fL .3 ,'3/ ,5 k, /~ f(;/, pC /1 /(>Sf'CI t \ CS/):3ffj Lelll >2 ,S Ll';, J 5 Lt Cr;f . r C~H t~ .5{).oD f ~'I){II)))J (z. jj;tC:- ) k' OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALues r~3 'l- 10 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name L /1 J Q f1l ~ 1 - LL cfe L. (2) 1.0. Number (3) Cover Period L~ '-I I C I I 17 through fJ..0 ,~L) ;2.7- (4) Page _ 'f of r (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount II(H),J.C_~\ 1\ \ OC.\k"I(P\i :t ~~J~. (6/{~m 3'661 "-x;~ 3/ 7r(( f3 C}lc> y)(JC~, I ~c'i\~ L00(1(~' \ FL 3-:)G:)..\ II JXI.! ehp/ll(' t- 'Te( e .(.:;/ tq C. tT"Ql c., '1 [6'1/,-) I C; [I 05-4 s -SLG Lf7 sr l Cht. ) t{), C( ~/I /t(/1\ I) Fe j :)/ S-S- /g !J1ctO( A 1, I ( j [f r) c; CSfi3171 /'~j('( " ~;.) Tf ('(. IL .)5.[( Li) / -.:., tv. ~1 {-\ 2-- ~t I ((,-n \) c;=c ~'" '.J.. . c/ f _,h.j/b~ 17 11-CYldlC(f] :Jr)'j II &vD~ )51 ;3/7'1 FO. 6D-t' -:2 :J' g .J ,)dC 0 13 Cf) f.- . 'J / ~/)'r;ml) -f j 3/3- -?, 7\.)lJ. (X 2 C)O DiC(nq Drn;S ] )//3/77 J 3 7 &J -SLtJ ,),,, lQflG /S.(jL ~11C;m)) Fl ~3 /~_~ ~ C}jf -+- 01 ()sj /3/77 [) 0 n lie / I J _ DUfLJ(,Si ~k:.. c; ~in(P /)/ hr; J ()/ J ej\. Ie-- ,~. l~t. J5t. D( I / LI9 j os Ll'l - ]I.( el ~ B CJ (", ,],d-- } {\((O) I )-f( 33/s.') (' ;-- I - () j(/ j)t'f 00/) C/ 1 t/; //3/7/ I~) I C/)QI)(i'clll.D )vd. Ir f1/-JL fr- ) -j ~- .- ;'), ..') 5r'.O( ,~~ j::.f lj f) l sr(~ 14' J f{. ~~J Lf 9 C (: lit LJ (i./ FlY~./) .J....tl(' ~/ )c)IL3/77 7"/ <' 'CeCil' . [.1 'J - l.\..). -' I .. V f . _5 /~!/." Cn'L/ ~5().DD 9) ) q 1\\ \)fZ ~)j J) "i '.j !JLf/ / , ) ~ '---' OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pr l( or ID CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name J...... /)) a J1') ~'1. L Cpl' L (2) 1.0. Number (3) Cover Period 6.!::L, c,J ,9? through () tvry , -1/; i 9q (4) Page 6 of .....L..f- -/ (5) (7) (8) (9) (10) Date (6) Sequence Number Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ge/~el\u! ,~Q,l) ,I ~t'Y\ (~ rpQ.)1/\L'1~) ~t . ~bOI S [3(iL.jShc'(( or D ~/t lelfl\\) fZ 3 3) j~ Cfnlu (Ll ,S l--v/nf 1"(1 I S l0 , t~ 7 f\ l) ( . ~/II Of'n I J fZ~ :33)) Y C:;" ()s . ,'~ le" Le+}C~{q f-(->!rv<I)CVt ~ ~~ 3 '3,-:) B{: l'h:\\ t\u c . M-\ ~JD l!-'l \ (Ul\\ fZ :)j I;rj /l1\\tY \ 0.c(\\ ~N \'(1 C( tccc P fs'lcr' t c {/(:'. ~~\~C' L~.~eC'I\~VcO. D ri \c(\\\\ ;)tt(~jl \ '-L 3J/J? (! A-~ I<61T -l S S I)-lU I \900 S,lV. 67{JJc. 50 Jt-( A- 1-11 ~II'); J f"L-- ~3/..s-S 3d e LN l~ ~ Odf't\ M- s. 'f.ai (\,f) . b 71 LUfShi1.fo() A V( . ~,Qtl)" B(r;ejn~j/:3J Contribution Type Occupation Type ){ y~ /' 111 ~. ldi z/ (!0 J Contributor 9. <::J ~/, ,ltQ ~) Cj J) ckj ~ Jo..., '1, --- I (11) (12) In-kind Description Amendment Amount ~ 511). D , C}-\ ~ ~".),slJ .CJ c ~~ ~_ 10.D) ~ ~ ~CC/ ~ 9 ~ ~ ~ b .~ ~ ^ C6' L / i.. L/ -Pr'tt t:. C)\ 1'5 h oj It\ 7 ~ 7 ;:Kroni ft\O Dr. CorC{/ ~j,)('s) FL 3-3JLfc. r f.fdvt:; / FL 0 i \/. (' bJu m.h j q ~ ~ A- CxJoQ) & ~ t. &6~ f.(). 6oX' 135'97 ~/Ili 4 t;SS((', -rL 3 23/7 c.::{,)7J .0 / ~s jOO.lXJ eft E... 50().OD C}lL c:<oo .00 GO. OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f~ ~ t 10 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name L j // Q Kl f..1, Lope?" (2) 1.0. Number (3) Cover Period {) 4 I () II 7' 7' through 0& I~;-ll (4) Page ---"- ~ of ! (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Number City, State, Zip Code RCtmOn kes;t(e" J~?O? 5.w.~~ Hl4m;) fL 33~ ResCj ~q{('q P11sen~ict <2~S-W. fo~ sr. H/tflhl/ -rt 3S/lb <C:hzqberh Vr:w{qf) cP {J.D. Box-Yo ~~? ~ t1IQIO; Beq~, -FL 3~JYo r (12) Contributor Contribution Type Occupation Type In-kind Description Amendment Amount : Cl+E.- ::{56.0 ~J.\ L /S:OO f4E- 5D 3 Wwit) S4lfll(nq ~}Jo Jt).W. /01 .st: , ~(J.O f..~t1Q/OI) FL 33/4) CHL Dernet (q 8ucrD f\ i9 jDOO ~/Cjl")cf fJ Ivc/. ~s:() -=#=JOr; WL ,{)O. f.1/'4m; fJec,t.f., fL .3 sov-t'r,jqt~ /Owe'" Apt: 'C: <1 100LJtST ;:JUf'. t:, h,'qm; ~~, tZ. 8 j/37 {) , 30[).00 ~(Gh ~T()u.Je(S ~ 7'00 Wl'[;,-rAve. is ~-L :)ctJ. DO it I~ mi €fvrd, fi 3 jJS/ ~ L ~ Q/l,Utv A hJl( veL- eY, ry/5' 5 CU. 115 (J<.,Ie.- CBS ;;).0.0 !-II ((/I)/I;:::z. :::'')::51 b S- D5: 2> OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f(r ~ Of- )0 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name L il/c; ff) 1-1. t... 0 -pe '6 (2) 1.0. Number (3) Cover Period Q.!d.-'~4 through ~..3tL;.L7- (4) Page~. . (5) (7) (8) (9) (10) Date (6) Sequence Number Full Name (Last, Suffix, First, Middle) Street Address & City I State, Zip Code Contributor of ! Contribution Type Occupation Type In-kind Description Amendment Pc'"~iq P/qSCtl\e LC( (0 ~~ I $. uJ c;Lr flue ?-t/41lJ1 J Fz 33/73 :L ;JD6C /3., tr>enq ']7;0 5.w. 3E;Tc((. 11/41111/ rL -jj/f"S- L hekssc; ~. ChCf'1ki" 7' 3d.'t Rl vo Alto. Dr, '-1 ~ h/Ctmi (J(.qeJ,Ft.. p.. (rnqndb eo&rL~L}t2. ~?J~ s. w. Coy tJ v-c. l-fJc"mlj FL 3 -:>1 S S- L/ ~'fJI k. 5c~r\'C~&er ~Io 3 /V.v..). IS st. Bo~ R.c.tcn \ fL r :3:> ~ Lqmbe/r- tOjqh/7skJ" ~1;ti~~~~o t3 L. D. PqJJe1 J tv ~JQ/ld f1Je :frl{ E. <)1IU(l}/ (5tYMIIi 35/37 & f f? V) ,0e)3 fl( c; J (" ~ to '/ W 7(/)/ 6(Jvd!f)(lu{ Lj ~ h /(f/TJI J h :3 3JJ) OS-DE 13 (02197) CAs Cj-{ L C~t (!~E C~t ~ ~ ~3 (\}~ ~ "()~ c: rfI t 'rf{<L SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (12) Amount I~CJ() IOc). DC 50,00 'OI).O() J tx). DO ~s1),O $u,OO ~()o.Q p q- 7 f {O CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name L IIIOd] 1-7 L ofe? (2) 1.0. Number (3) Cover Period 04 , 0 J , 9 9 through () ~7 , ::sO; 9/ (4) Page <l of 7 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount H J Qrn; ~(5 sic; h{)i/S ~ Ot//t/77 6.:0... Ib.9Q AlfOf\ R-d. $' r 5DtJ a 1) '"'/<,J I 1--1 J Cffl7 J fJ eqr:lJ, Fi.. 3j,J? '-J r ~~~ 01 ';> <"'~ ---:f.. c. "1; ,- P. b-rCW{\ f)brlj fro lJi ell Ofo/!7/r! 1qo~ e, C Ci I uS c; ~ fJ./J Or: I=r: 5"DO,OC J I--n t{ fl) I ) fL j :),fh 50 pe:YlSJ~ fotrf prist's o?- "" (~ '-.J.>< c- 00//7/77 so Jl h f7 of! dCj h ~s ....x 9'4 C 5-n 5 i. B .Jc ,90.0C. 1) " Jj't'r,(]I/( fi :3j/:3 / 5/ 1-'1 ) till) I ~n tUt); 010((('(\ 7,-1(, ()0//~/99 0/9 ('q{~ju{( five. r . ('e/ye,j 6qVI(-S I ~'- (Ob.OO b'J- 33/ Y b EdL....'Q(cC f!t~r)\Q.i- OC;//i)/?9 L.jOD ,SL'}7/r-k')Mt 0(, /aJ.OQ {I -pI \ D~)\..( r ~ ' (. d') cd -fi ~. ~ II (ill' ("1-~" ,( ~- ~) JI ?/1 t~ M hv/ taf~ll(f'-l j:}.)QJ' .. 6;. ~b /JHr ! -( -t (((eJ J-L II C:' .. J: s- . ~, ~s{),OO s~~ !J ti7\Jft<.-dKe'-( J3 '"?:5 . a Sl( ~( I (fll)( rY(;(!4( Fe j ,); 1..(0 ") OS!I gl71 f\ ~Ch)~ (~ ~)(,d Cic eiq ",5 (.-1 (i() j..). l<.-, 7~) [.-':' (, lJ r ;;~u. 00 Llll..)(Li;IJ i / ) / f~L-S~ j I cl ( 3'S-' eCiu I ~. (~:rt:?h'/ tv D0/:J//W 73"-S;- ~', ~ r::r .~ .J ' 0 L,,;. -.::::, IOu .00 &i(fl ,) i. f: t(/ Dnl C s-b 5~Lf~~ OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES fa ~ Jt-IO CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name L / lit) /1') /---,. L(J P L 2. (2) I.D. Number (3) Cover Period () Lf I () I I? J through OC:- DO ; 77 (4) Page _ .-L of ( (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount \1 re~QJj ec)T txtr f- J~'/~7/?7 .)-.10 I C: I \ 0\ <; I~ U( . - lL)j ~( flitn I f3(({e~1 (-t 3.J1 yo -L SO-Db fl rt'd)e~1 c( HO\~l'V\j-:D\C . <, "r- a/:)7rJ '-~ \::) (C, Co\ \lV\S ('I \JG D <) rl \(-u11 1 J3 ectdj fz :):j/~7 u '~~SDOD :S' ~ .. I, 0 V~' (yo(C{'( S):,tc ( -j (' \lL J ~ I r.:.~ (:....,,, "1' ) fft ( .. ". ) ') ,d,er; toll \1 \ A ll( (('C L/~:d) B ~~?)OO ~(I((l1'\\ 3c-tlC 1ft r C;C) d- :}C' .::> ~~ I ~ l -').J .) , "-: 1 C' \ ~~, 00 fj) /97 \ 'Q. 4, ~ ;~-( \~\ \ \ \':1 ?, ? 'h . \ ,. C \ '-i >' _n'--:? L./ 1/1cc J.(\..'I.\~vl':,I-'\i-) f.) J /~c\,~ . 6g~~ lV. I--;Z r0C1C, I, C ...:j)UOO '-f'\j/ ~IO +t(Q.ccCeJ'I'ft ~?::t.)O) ~ 'l': I'r;y >< ~43~~9rtO &" (' tJ~ 1d5/'7C:) i}....s~ n ~.. ,- jJV Ie ~),Lf oc e- (,J ~oqmi ~ tt.~ ()- ~7 '/ &? I 3 NO C/'r-- I .. / / . / / / / OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P t' q ~ /0 CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Liliam M. Looez (3) Cover Period 04 I 01 I q q through 06 I 30 I (} 9 (2) 1.0. Number (4) Page 1 of 1 . (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought If Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) "Type Amendment Amount Garber & Goodman Public MaN $2,000.OC 04/ 0 1/ 9 9 301 Arthur Godfrey Rd. Relations Miami Beach, FL 33140 1 Garber & Goodman printing MaN $ 243.24 04/13199 301 Arthur Godfrey Rd. Miami Beach, FL 33140 2 J~/39!9~ Colorama Printing Printing MaN $ 143.77 3215 N.W. 7 st. ! Miami, FL 33125 3 Garber & Goodman stamps MaN $,38.38 05/04/99 301 Arthur Godfrey Rd. Miami Beach, FL 33140 4 Majestik Printers Printing 05/05/99 2741 Lake Park Circle W MaN ~279.94 Davie, FL 33328 5 .. 04/24/99 Ga~ & Goodman 301 ~rthur Godfrey Rd. stamps MaN $ 84.81 Miami Beach, FL 33140 . 6 Garber & Goodman Public MaN $2,000.0( 06 fJ1 jJ9 301 Arthur Godfrey Rd. Relations Miami Beach, FL 33140 7 06 11 J9 The Sun Post Advertising MaN $ 250.00 1688 Meridian Ave. 8 ~ h4m\ 0"(,04, R 3::5/39 OS-DE 14 (02197) SEE REVERSE FOR iNSTRUCTIONS AND CODE VALUES Pt 10 t (0 -