Jordan Moorhouse Political Treasurerik'
• ro� APPOINTMENTAND CERTIFICATION OF POLITICAL$€i C-1
Rev. 1/15
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FOR CANDIDATES AND COMMITTEES 2017
(Please Print or Type) c y
' rE ti�4 Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be receivedtpe►t f�lre Ade,,i y, on behalf of a
candidate or political committee until he or she appoints a political treasurer and certifies the natn9fisof the treasurer
to the Secretary of State.
Certification is for (check appropriate box below):
iC Candidaameof
te.
Jordan D Moorhouse
❑✓ CANDIDATE: j
Home Work Cell i
(Phone (208) 761 7227 Phone (208) 761-7227 Phone: (208) 761-7227
Office
Sought: Meridian City Council
i
Candidate i
Mailing address: 3536 W Ryder Cup Dr. Meridian ID 83646
J
(Candid—ate
email address: lordanmoorhouse@gmail.com a
Name of
E]COMMITTEE: ; committee:
i Name of Committee
Chairman:
Miscellaneous: ❑ i Home
i Phone:
Measure: ❑ Committee
Mailing address:
Candidate/Measure: ,------
i Chairman
's, email address:
Work Cell
Phone: Phone:
CERTIFICATION AND APPOINTMENT
Jordan Moorhouse , 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 -- _-- -- I
Political Treasurer: Stephen Pugmire
Home. (208) 884-1695 Work (208) 888-5112 cell (208) 631-6175 j
PhonePhone, Phone:
Treasurer --- -- -- -- ---- — -- -------- - — --- - -- ---- — — -
Mailing address:2247 W Santa Clara Dr. Meridian ID 83642
Treasurer 2247 W Santa Clara Dr. Meridian ID 83642
Residence address:
City clerk contact Info Treasurer slpugmire@hotmail.com
i email address
Signature of Candidate or Committee Chairman
Stephen Pugmire , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer