Palmer for Meridian, CommitteeAPPOINTMENTAND CERTIFICATION OF POLITICAL TREASURER c"
FOR CANDIDATES AND COMMITTEES
Rev.1�15
M (Please Print or Type)
Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be receive made by or on behalf of a
candidate or political committee until he or she appoints a political treasurer and ce a he treasurer,
to the Secretary of State.
Certification is for (check appropriate box below): 201
Name of
CANDIDATE: Candidate: _
Home Work Cell
Phone: Phone: Phone:
Office
Sought:
Candidate r
Mailing address:
i
Candidate
lemail address:
Name of j
COMMITTEE: Committee:
e, -4u if 44e-
iName of Committee
Chairman: 6keA— Axc*GH/1,\,,--
Miscellaneous: 0 'Home Work
Phone: 20 8 " t6o —wt'i Phone:
Measure: ❑
Candidate/Measure: 1Z
Cell
Phone:
Committee
Mailing address: 6 Z 1/ /7 hlzl " i s /" %y1 �1; ,d
Chairman �y
email address: on 0- Vl �� fhk, �C (3 &I
''ERTIFICATION AND APPOINTMENT
I,�e / Ul GK`�c�— do hereby certify and appoint the following individual who is a registered elector of
Name of Candidate or Eommittee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Name of
Political Treasurer:
Home c�Work Cell
Phonekj6j) —tS-6q Phone(Z6t) 3( DZ Phone(Z`��1 J
Treasurer
Mailing address:
Treasurer
Residence address:c�('�,
Treasurer
Chris Johnson email address: `�r�. (Y\Qk\
Interim City Clerk _
33 E. Broadway Ave.
Suite 104
Meridian ID 83642 Signatu'pYof Candidate or Committee Chairman
208-888-4422
cityclerkQmeridiancity.org I JG , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer