Vision Meridian, CommitteeRECE'VE
AUG 0 9 2019 1
'weKt! WPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C-1
SOFFiCE Rev. 1/15
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
Pursuant to Section 67-6603(c1), 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):
F] CANDIDATE:
ffCOMMITTEE:
Miscellaneous: 0
Measure: 1-1
Candidate/Measure: 1-1
Name of
Candidate:
Home Work Cell
Phone: Phone: Phone:
Office
Sought:
Candidate
Mailing address:
Candidate
email address:
Name of
Committee:
Name of Committee
Chairman:
C—
t-j "ID
Home
Phone: �—' C r'6"r
Work Cell
2-3(c-, 5' Phone: 5) 'Lj4,— Phone:,, -?()E -7qL� 1LJ5-
Committee
Mailing address:
'r::A
Chairman
email address:
CA,\\ C , n 0 A S� 05�' C�' C) - c C,
CERTIFICATION AND APPOINTMENT
4<e -/NQ', -U>3 , 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:
Please deliver to:
-Name of 'R
Political Treasurer:
-J�
—:5—AA-LL—y ----
Home
Phone
Work Cell
9— Jt r Phone:(—,) 0,F) -79'q-51 qS Phone:
Treasurer
Mailing address:
H
Treasurer
Residence address: 0 ( A b
Treasurer
email address:
Nt) 1 0 i� E A—G- K)
Chris Johnson
City Clerk ZZ, :,
City of Meridian
33 E. Broadway Ave. Sig � andiclkte�'Committee Chairman
t
Suite 104
N" 0 Lb o hereby accept the appointment as political treasurer for
SA 1-1,-Y
Meridian, ID 83642
Gityclerk@meridiancity. Name of Political Treasurer
org the above named candidate or committee.
Xnature of Pdtical Treasurer