HomeMy WebLinkAboutTy Palmer Political Treasurers APPOINTMENT AND CERTIFICATION OF POLITICAL TREASU T
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)MAR 12F
' Ir f ti4 Pursuant to Section 67-6603 c1 Idaho Code. No contribution shall be received or ex enditur r�
candidate or political committee until he or she appoints a political treasurer and certifies the nam r f r a
to the Secretary of State. �
Certification is for (check appropriate box below):
f Name of
❑ CANDIDATE: 1Candidate:
Home Work Cell
Phone: Phone: Phone:
Office District
Sought. Number: Party.
Candidate
Mailing address:
Candidate
email address:
Name of Elect Ty Palmer
❑✓ COMMITTEE: Committee:
Party: Name of Committee Ty Palmer Party
Y ❑ Chairman: Affiliation (if any):
Miscellaneous: ❑ Home Work Cell (208) 954-6432
Phone: Phone: Phone:
Measure:
Committee 653 Fulmer Ct, Meridian, ID 83642
Mailing address:
Candidate/Measure: -- -— ----- - — --
Chairman email address:ty@typaimer.com
CERTIFICATION AND APPOINTMENT
Ty Palmer , 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:
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
Name of
Political Treasurer: Jason Monks
Home Work Cell
Phone: Phone: Phone: rj
Treasurer
Mailing address:OL
Treasurer
Residence address:
Treasurer
email address:
1, Jason Monks , do hereby
Name of Political Treasurer
the above named candidate or committee.
Signature of
or Committee Chairman
as political treasurer for