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Rudolf (Rudy) L. PatrickREC F WED SEP 0 6 1019 PINTMENT AND CERTIFICATION OF POLITICAL TREASURER C 1 wf' _ lir..<<�.,,. Rev. 1/15 RKS OFF)CE FOR CANDIDATES AND COMMITTEES . + (Please Print or Type) or f Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer to the Secretary of State. Certification is for (check appropriate box below): ❑Name of � CANDIDATE: Candidate: Rudolf (Rudy) L. Patrick Home Phone: Work Phone: (888) 602-6186 Office Sought: City Council Position #1 Candidate Mailing address: 129 E. Pine, Meridian, Idaho 83646 Candidate email address: rudy@rudypatrick.com Name of ❑ COMMITTEE: Committee: Name of Committee Chairman: Miscellaneous: ❑ Home Phone: Measure: ❑ Committee Candidate/Measure: ❑Chairman Mailing address: email address: Work Phone: CERTIFICATION AND APPOINTMENT Cell Phone: (208) 412-5557 Cell Phone: Rudolf (Rudy) L. Patrick , do hereby certify and appoint the following individual who is a registered elector of Name of Candidate or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: _ Name of Political Treasurer: Michelle Leverett Home Work (208) 888-2817 Cell (208) 484-7129 Phone: Phone: Phone: Treasurer Mailing address: 1567 South River Grove Way, Eagle, Idaho 83616 Treasurer 1567 South River Grove Way, Eagle, Idaho 83616 Residence address: Please remit to: Treasurer michelle.leverett@merid iancha% e`. r1� email address: / City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Meridian, ID 83642 I Michelle Leverett (208) 888-4433 cityclerk@meridiancity. Name of Political Treasurer org the above named candidate or committee re of Candidate or Committee Chairman do hereby a6cot the appointment as political treasurer for Signature of Political Treasurer