HomeMy WebLinkAboutMike Tracy Political Treasurer,;T S APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c-5
Rev. fl15
- ' o FOR CANDIDATES AND COMMITTEES
y 'I (Please Print or Type)
Al .4 Pursuant to Section 67-6003(ol), 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):
Nameof
❑ CANDIDATE; I Ca dilate; ( ` �- P,e'`�
Home ---------_.--- Work__..�lCeil'-- '
Phone; 3So ' �' ®'� Phone: Phone; —_ A `� P Y'
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Office G w —5 G'q Ceq t,
Sought: S'v
Candidate
Mailing address: `fib
Candidate U-4vv-Z �' e�� tom' . Cc� i
email address;
Name of
❑ COMMITTEE: Committee;
t_ ^�
Name of Committee
Chairman:
Miscellaneous: ❑ Home
Phone:
Measure: ❑ Committee
Mailing address:
Candidate/Measure: ❑ -- ._.----
h�lrmnn
Work Cell
Phone: Phone;
email address:
CERTIFICATION AND APPOINTMENT
a
I, , 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:
Nm
Political
Treasurer: V
------
Home ®� U Work WY,� Cell �
Phone: Phone: v COY Phone: �� 3 -3
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Mailing address: �� �° S �°t P LAc'
Treasurer 4— ---
Residence-address:
Treasurer
Please remit to email address:
City clerk's Office
City of Meridian
33 E, Broadway Ave. Signature of Candidate or Cimiitt w4h " man
Suite 104
Meridian, ID 83642 I� , do hereby accept the ointment as political treasurer for
t208) 8884433 y a p p
Name of Political Treasurer
the above named candidate or committee, :9=aL1t4—'
Signature of Politics