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HomeMy WebLinkAboutMilam Political TreasurerRECEIVE APPOINTMENTAND CERTIFICATION OF POLITICAL TREASURfje4<l$8/07 FOR CANDIDATES AND COMMITTEES a� (Please Print or Type) CITY OFC ERF» .� a Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure 96V R-&PcHNkFbP€ 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 Stale. Certification is for (check appropriate box below): © CANDIDATE: ❑ COMMITTEE: Miscellaneous: ❑ Measure: ❑ Candidate/Measure: ❑ Name of Candidate: le mr—S 1 Mi(a-Yn HomeWork Phone: Cell 1.SS _ a aa�. Phone: 5-71-&001 Phone: 3 7I 6 0 07 office Sought: Seat (if C 1 OtttY�CC t i applicable) —co Candidate 2 2CandMailing address: '!� C'� o (3 t] K 42- Candidate idate email address: (j�n )S' J? ' O Name of Committee: , Name of Committee Chairman: - Home Work Cell Phone: Phone: Phone: Committee Mailing address: Chairman email address: CERTIFICATION AND APPOINTMENT 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: Nameof PoliticalTreasurer: Home Phone: Z g (- 13 ( Work Cell [a o 1-0123—Phone: Phone: 50 — 7 3% 7 Phone: y p !— 0 1 2 3 18 Treasurer Mailing address: 13 (p E• —y .J.t O 10 trj at l at, --40 936V Treasurer III email address: ,SWI 14 -/JN (� 1 bU ttl e.. at 10. . C O VY% <�2� 6��lz — /D Signature of Candidate or Committee C airman I, 6rel �do hereby accept the appointment as political treasurer for me of Political Treasurer the above named candidate or committee. gnature of Political Treasurer