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Contribution Amount:	(Limit: Primary: $1,909.05 per individual/$9,545.25 per family General Election: $2,654.10 per individual/$12,820.50 per family)
Contribution For:	Friends of Lenny Ricchiuti
Terms and Conditions:	New York State law requires that a contribution be in my name and from my own funds and limits contributions for the primary to $1,909.05 per individual/$9,545.25 per family and for the general election to $2,654.10 per individual/$12,820.50 per family. I hereby 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 as a loan. I have read and verified all of the information and agree to the above terms.