HomeMy WebLinkAboutAnne Little Roberts Political TreasurerCF
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APPOINTMENTAND CERTIFICATION OF POLITICAL TREAS ev.
FOR CANDIDATES AND COMMITTEES
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(Please Print or Type) i TY 0 F C�4- -
-6603(cl), Idaho Code, No contribution shall be received or F14-e -@�-of a
Pursuant to Section 67 expendit6WnQ6-: by 1144-
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:
.......... ....
Home Work Cell
Phone: Phone: q1qj
......... ..... ......... ....
Office
Sought: )Unci,)
Candidate
'Mailing address: L
Candidate
email address: Mylt WtL*WT�5. e V.W1..CD'M-
i Name of
❑ COMMITTEE: (Committee:
.. .... . ........ ......
Name of Committee
Chairman:
Miscellaneous: F-] j Home Work
Phone: Phone:
Measure: ❑ ,Committee
Mailing address:
Candidate/Measure:
,Chairman
email address:
CERTIFICATION AND APPOINTMENT
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:
I Name of
Political Treasurer:
'Y
I Home Work `�
Cell
Ph o n e: J_010 Phonej.,�26 -J�'7 9�72 Phone:,Dzq
`0221-
Treasurer -- --
Mailing address: FC�A
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I Treasurer
I -VA elz U--VL 6�1
i Residence address:
Treasurer
Please remit to: I
email address:
City Clerk's Office
City of Meridian
33 E. Broadway Ave. Signature of Candidate or Committee Chairman
Suite 104
Meridian, ID 83642
(208) 888-4433 1, do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer