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T ¢ APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c
FOR CANDIDATES AND COMMITTEES Rev: 08i07
(Please Print or Type) C I Y 0
��rs Q tia Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure m' 1 y ar o deli if of fi
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:
❑ COMMITTEE:
Miscellaneous: ❑
Measure: ❑
Candidate/Measure: ❑
Home Work Cell
Phone: Phone: Phone:
37/-6007
Office p Seat (if
Sought: t applicable)
Candidate
Mailing address —
Candidate T
email address C4ie-SU ` C)
Name of
Committee:
Name of Committee
Chairman:
Home Work Cell
Phone: Phone: Phone:
Committee
Mailing address:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I,}`- � .,`'` 4 , 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" t
Home Work Cell
Phone: Phone: ( Phone: 650-73-77
Treasurer
Mailing address: O (� � ,3
a _ _ — ; wit
Treasurer
email address: i rt e/ i C
e'P
Signature of Candidate or Committee Chairman
, do hereby accept the appointment as political treasurer for
me of Political Treasurer
the above named candidate or committee.
ignature of Political Treasurer