Meridian Firefighters Local 4627�T s
v ovt,
C-lP
y 0
.� Rev. 12/18
STATE OF IDAHO
OFFICE OF THE SECRETARY OF STATE
LAWERENCE DENNEY
APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER
FOR COMMITTEES
(Please Print or Type)
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.
New Filing ; Update Filing
Name of Meridian Firefighters Local 4627
Committee
Name of Committee Grant Hamilton _ Party _ ..._.
Chairman: Affiliation: I
Home Work Cell 2088910603
j Phone: Phone: Phone:
Committee P.O Box 456 Meridian, ID
L Mailing Address:
Chairman mhammy410@yahoo.com i
I email address: E
I, Grant Hamilton do hereby certify and appoint the following individual who is a
Name of Committee Chairman
registered elector of the state of Idaho as the political treasurer for the above named candidate or committee:
CERTIFICATION AND APPOINTMENT
Party: n Miscellaneous: n Measure:
Name of Grant Hamilton
Political Treasurer: i
G Home Work Cell 208-891-0603
Phone: Phone: Phone:
Treasurer 2110 N. 14th 8orse, 1D. 83702
l Mailing Address:
I Treasurer 2110 N. 14th Boise, ID 83702
Residence Address
j Treasurer hammy410@yahoo.com
email address:
Signature of Chairman
I Grant Hamilton , do hereby accept the appointment as political as er for the above
Name of Political Treasurer
named candidate. K
Signature of Political Treasurer
RETURN THIS FORM TO:
Lawerence Denney Secretary of State Elections Division
PO Box 83720 Boise, ID 83720-0080
(208) 334-2852 Fax: (208) 334-2282