Anne Little RobertsQrT s
APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c 1
Rev. 1115
'
FOR CANDIDATES AND COMMITTEES
.,.
(Please Print or Type)
Pursuant to Section 67 6603(c1), Idaho Code. No contribution shall be rec ' e e diture made by or on behalf of a
candidate
or political committee until he or she appoints a political treasurer an ir� Vdladdress of the treasurer
to the Secretary of State. APR 0 3 2019
Certification is for (check appropriate box below):
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❑✓ CANDIDATE:
Name of
Candidate: Little Roberts
Home Work (208) 861-4799 Cell (208) 861-4799
Phone: Phone: Phone:
Office
Sought: Mayor
Candidate
,Mailing address. -2031 S Elkhound Ave., Meridian Id 83642
_-.......... ...... _...- ----._._.............. -----._........_..._..—...-- ---- - ---=
Candidate
email address:AnneLittleRoberts@gmail.com
❑ COMMITTEE:
Name of
Committee:
Name of Committee
Chairman:
Miscellaneous: ❑
Home Work Cell
Phone: Phone: Phone:
Measure: ❑
Committee —
Mailing address:
Candidate/Measure: ❑
_._..___.
Chairman
email address:
CERTIFICATION AND APPOINTMENT
Anne Little Roberts , 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: Clarence Jones
Home 208 288-0033 work 208 871-5533 Cell (208) 871-5533
Phone. ( ) Phone: ( ) Phone:
.... _...... _..
Treasurer
Mailing address:736 E Trinidad Dr., Meridian, ID 83642-7428
Please remit to:
City Clerk's Office
City of Meridian
33 E. Broadway Ave.
Suite 104
Meridian, ID 83642
(208) 888.4433
cityclerk@meridiancity.
org
Treasurer 736 e Trinidad Dr., Meridian, ID 83642-7428
Residence address:
Treasurer cjones1g3q@ cable me,M?4-
email address:
Ark, )CILZP—it�
Signature of Candidate or Committee Chairman
Clarence Jones , do herebyac ept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
ignature of Political r r