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Please join

S ean Jewell
For a

Fire Fighters, Friends, and Family event


in support o f

Congressman Ed Perlmutter
S aturda y , Februar y 18, 2012 3:00 5:00 pm Ca f Del S ol 608 Garrison S treet Lakewood, Colorado
S uggested Contribution $ 25 All contribution s are welcome!
RS VP to Julie DeWood y at 303-459-4729 or julie@perlmutter f orcolorado.com
Contributions to Perlmutter for Congress are not tax deductible. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in an election cycle. Contributions from corporations and foreign nationals are prohibited. Persons are prohibited from making contributions in the name of another person. Contributions from federal government contractors are prohibited. Individuals may contribute up to $2,500 per election and up to $5,000 per election cycle. Federal PAC limits permit up to $5,000 per election.

Paid for by Perlmutter for Congress

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Ed Perlmutter for Congress Reception February 18, 2012


_____ Yes, I will attend the event. Enclosed is my contribution of $__________. _____ I am unable to attend, but enclosed is my contribution of $__________. Please make checks payable to Perlmutter for Congress and return this form to:
Ed Perlmutter for Congress 3440 Youngfield Street #264 Wheat Ridge, CO 80033 FAX: 303-233-3530

Required information: Name __________________________________________________________________ Address ________________________________________________________________ City ___________________________ State _______ Zip ______________

Occupation ______________________________________________________________ Employer _______________________________________________________________ Home Phone ________________________ Work Phone _________________________ Fax ____________________ E-mail __________________________________________ If you prefer to contribute by personal credit card, please provide the following information: _____ Visa _____ MasterCard _____ AmEx Card Number ______________________________________ Expiration _________

Name as it appears on card _________________________________________________ I designate my contribution, composed of personal funds, to Perlmutter for Congress as follows: the first $2,500 for the 2012 primary election and any additional amount, up to another $2,500 for the 2012 general election. Signature _______________________________________________________________
Contributions to Perlmutter for Congress are not tax deductible. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in an election cycle. Contributions from corporations and foreign nationals are prohibited. Persons are prohibited from making contributions in the name of another person. Contributions from federal government contractors are prohibited. Individuals may contribute up to $2,500 per election and up to $5,000 per election cycle. Federal PAC limits permit up to $5,000 per election.

Paid for by Perlmutter for Congress

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

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