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.
If you are doing business with the City, enter the agency and business category. List the "Doing Business Entity" and your relationship in the 'Employer' and 'Occupation' fields.
Contributions are not tax deductible.
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$25
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$1,000
$2,500
$2,750
Other $
I confirm that the following statements are true and accurate: I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and having no corporate or business affiliation; and is not being made as a loan.
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