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501 Candidate Intention
andidate Intention Statement Type or Print in Ink. ~~ G 18 2009 ~ ~ For Official Use Check One: ©Initial ^ Amendment (Explain) PE TINO CITY CLER I 1. Candidate Information: NAME OF CANDIDATE (Last, First, Middle Inih'al) DAYTIME TELEPHONE NUMBER FAX NUMBER (optbnaq E-MAIL (optional) Miller, Marty (408) 253-1168 ( ) STREET ADDRESS CITY STATE ZIP CODE 20348 Clay Street Cupertino CA 95014 OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, ilapplicable. ®NON-PARTISAN Cupertino City Council PARTY: OFFICE JURISDICTION ^ State (Complete Part 2.) ® City ^ County ^Muiti-County: Cupertino 2009 (Name ofMulh-CountyJurisdidion) (Year of Election) 2. State Candidate Expenditure Limit Statement: (Ca1PERS candidates, judges, judittial candidates, and candidates for local offices are not required to complete Part 2.) Primary/general election Special/runoff election (YearofElecfion) (YearofElection) (Check one box) ^ I accept the voluntary expenditure ceiling for the election stated above. ^ I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: Q I did not exceed the expenditure ceiling in the primary or special election held on: _~~ and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark it applicable) ^ On ~-1 , I contributed personal funds in excess of the expenditure ceiling for the election stated above. 3. Verification: I certify under penalty of p/erjurypunder the laws of the State of California that the foregoi is true correc Executed on ~~~ / ~ ! Signature ~ (month, day, yeah Candidate) FPPC Form 501 (January/05) FPPC Toll-Free Helpline: 886/ASK-FPPC (86612753772)