HomeMy WebLinkAboutGenesis Milam Political Treasurer Updated 0104164=,A. APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C''
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FOR CANDIDATES AND COMMITTEES
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Pursuant to Section 67-6603(c1), 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 cenifies the name and address of the treasurer
I
o the Secretary of State.
Certification is for (check appropriate box below):
e
R CANDIDATE: CNaandmidaofte: Gein-e—Z-S �-Kl + ice(- '
Home
Phone
Work
Phone:
Cell
Phone 3 %/ - &, oc-
office ] , , Seat (if )4-
Sought: + T J c `'� `L C+ L appiicabie)
Candidate
Mailing address: aCi X f vi g�2 +- i Zt �'t3 �o�?
Candidate
email address. cX1 S' S CX) a IA-Q O L o �
Name of
❑ COMMITTEE: Committee:
Name of Committee
Chairman
Miscellaneous: ❑ Home Work Cell
Phone: Phone: Phone
Measure: ❑ Committee
Candidate/Measure: Mailing address.
Chairman
email address.
CERTIFICATION AND APPOINTMENT
I. Ge-n f-5i5 1Y7 ct do hereby certifv 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 t
Political Treasurer. {M + Q t^t' �-� + 0 CA {-r r� C— A
Home Work 7 Cell
Phone: Phone: � ! �J - Phone.
Treasurer
Mailing address P� ,�QyC� sq
RETURN THIS
FORM TO:
Jaycee Holman
City Clerk
City of Meridian
33 E. Broadway Ave.
Meridian ID 83642
(208) 888-4433
Fax: (208) 8884218
jholman@reeridiancity.org
Treasurer email address: /1� i ' `$- ��' 1rYJ �► i +� d f' ► ►-s-? /� /�
Signature of Candidate or Committee Chairman
l I'ln I Ul �e l e �hnc�� ►�, E� do hereby acc p the appointment as political treasurer for
Nar er
the above named candidate or committee.
Signature of Political Treasurer