... CHAIRMAN CHARLIERANGrL JJ,TednesdQJ' Septe",ber 1.. :', 2009 s;;.,J 6:00 - 7:30 pm l\, '(i) I i' Jilil 81''''1I, illl.. (....u/t!l"I..afl(Jll ,\, , Co .", I: &fl' r / Yes, I plan to attend._ Enclosed is my contribution for , honoring No, I am unable to attend._Enclosed is my contribution for , '\ '\ .." Congressnlan Eric Massa (NY-19) Street "- , '\ Armed Serl'kes, Homeland Security CitylState/Zip 1\ , &Agriculture Committees Email "- , '\ ,\, Wednesdayseptember 2009 Phone (W) '\ .... 6:00-7:30pm Occupation '\ -\- ofEmployer '\ 1\. At the home ofJamie Pericola Credit Card Number Exp Date_ "\' , 517Sewanl Square, SE "- Washington, DC20003 Amount Signature I( , Type ofCard: Visa MasterCard 1\ , Please make checks pa\.7able to: , , Please RSVP: J" " Cliff (703) 354-7444 Cliff(wCHPF.net Erk Mass.. for " Lncas (202) 544-0020 Lucas(a>CHPF.net , Contributions: Contact: Cliffor Lucas at (703) 354-7444 or Cliffrii;chl'f.lld 1\ II Fa" responses to: (703) 354-5569 II' $5,000 Host - $2,500 SfJOllsor- $/,500 Guest _\. :r Corporate contributions to Erica Massa for Congress arc not accepted. Federal law requires Eric II' fa<: Massa for Congress to USt our btst tfforts to coUeet and report tbt name. mai ling address. ''\ E,.il' jl-/llSSII .. I(}I C()ll_tlle...... and name ofemployer of individuals whose contributions exceed S200in. a calendar It Ii fI"J 'ear. Contributions are not fa.,. deductible. ..' , P.O. Box 636 - Anllandale, VA 12003 ax Paid for b tbe DCCCand autbOlized bvErieM""sa for COlI rts. , """""""""""""""""""""""