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Jeffrey Milleryi APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c-1 FOR CANDIDATES AND COMMITTEES Rev. 1/15 0 �¢ (Please Print or Type) �rs1,'u tQ Pursuant to Section 67-6603(cl), 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): 21 CANDIDATE: ❑ COMMITTEE: Miscellaneous: ❑ Measure: ❑ Candidate/Measure: ❑ Name of �..(,�,',r �/►� l ---------------- ---- Home Phone: Work Cell Phone: Phone: �L./o Office Cell — — Phone: 20 9— 900 /�5T,22 Sought: ^_ —37 �( /y(J_�t/� — � CandidateI ,A r ry Mailing Mailing address: 3 7 4l1/ U/� APV1 G�� �� �� (� —7�6 L,�, _— Candidate email address: iP� 2 Aq 'l CG m Name of -------._--._.— — ------ --- Committee: Name of Committee -- — Chairman: Home Work Cell Phone: Phone: Phone: Committee Mailing address: Chairman email address: CERTIFICATION AND APPOINTMENT _ I, � 411rreV jl�// / �e+"', do hereby certify and appoint the following individual who is a registered elector of Name of Candidat or Committee Chairman the State of Idaho as the political treasurer for the above named candidate or committee: Please deliver to: Political Treasurer: -------- Home Phone: Work T_ Phone: --_ Cell — — Phone: 20 9— 900 /�5T,22 Treasurer Mailing address: ^_ —37 �( /y(J_�t/� — � ! � %�el��k� Treasurer � � e4 ( Residence address: �— ��✓� /lk 3 %' � � o{ �Z_(� � k_ Treasurer email address: �� JAI I l'PI� 1— �j r%"1C{ t Comf�- Chris Johnson City Clerk 1'-01AXAWA City of Meridian Signat e idate or Committee S Chairman Broadway Ave. Suite 104 do herebyaccept thea ointment as political treasurer for Meridian, ID 83642 > > p appointment P cityclerk@meridiancity. Name df Political Treasurer org RECETWUrnamed candidate or committee. r SEP 0 5 2019 ArA'turf Political Treasurer C.I I Y CITY CLERKS OFFICE