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Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.
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Please affirm the following statement: I understand that State law requires that a contribution be made in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan. I affirm that this contribution is being made from my personal credit card account, billed to and paid for by me for my personal use and having no corporate or business affiliation, and is not being made a loan.
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Ruth Cohen's House Party

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