Michael ChristiansonRECETVED
SEP 0 5 2019
APPOINTMENTAND CERTIFICATION OF POLIT16 W Rov.1/15
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
�'qPE p'f 49 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):
❑ CANDIDATE:
❑ COMMITTEE:
Miscellaneous: ❑
Measure: ❑
Candidate/Measure: ❑
Name of -
Candidate: �4\ c -1-V A -LGL C -HI AS r , A-tJ
Homec�k - - Work qa/` // Cell
SALE !�S G✓ti��C
Phone: o� �-% (l�,S Phone: /. Phone:
Office ------
Sought:- IV`F21� IPS CCS-nTc cc_aT� - —
Candidate /n_`-'
Mailing address: -21 V V vQ?� �,2 , yyt�(Z-t L> I (� !� D
Candidate
email address: M I �� C o� 698�5-@�-
Name of �----.--- -- --_---
Committee:
Name of Committee -- —`
Chairman:
Home Work Cell
Phone: _ Phone: Phone:
Committee —
Mailing address:
Chairman -----^ -------------- --
email address:
CERTIFICATION AND APPOINTMENT
I �ejaA6 L 0—A4*' -'ST-) 4AISO-4) , 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 — 1 l
Political Treasurer: "1 C t- A. (St_
C- 1�%—Y-L A -*j S
Home cf�5
Phone: o`-"
Work fo��S Cell F SA�►�1E
Phone: Phone.
Treasurer
Mailing address: a 0 �V -
V I4 all',
Treasurer s
Residence address:
Treasurer
���� �
/KEC 62 Ej< /i7A/L-----
email address:
Chris Johnson - /i��`� ��
City Clerk
Ciea poll
City of Meridian � Signature of Candidate or Committee Chairman
Suite 104
33
Meridian, ID 83642 I do hereby accept th
E. Broadway Ave. lie>tm Rns political treasurer for
>
cityclerk@meridiancity. l IF ame of Political Treasurer
eYg the above named candidate or committee.
Signature of Political Treasurer