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Full Name

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Employment

Employer

Campaign finance law requires us to obtain your occupation and employer. If self-employed, enter the name of your business; if unemployed enter 'none' or 'retired'.

Occupation

Please complete even if self-employed; enter 'none' or 'retired' if unemployed.


Contributions to David Hagele for City Council 2016 are not tax deductible as charitable contributions for income tax purposes.