Rick Valenzuela #26 _(47
4.
APPOINTMENT AND CERTIFICATION OF POLITICAL TREASAM
FOR CANDIDATES AND COMMITTEES C11 s
(Please Print or Type) 1Fytz`'fi
r ° tiq Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure ma ` c r 1half 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.
Certi cation is for (check appropriate box below):
CANDIDATE: Candidate:
COMMITTEE:
Miscellaneous:
Measure:
Candidate/Measure: F1
Name of���2 ���
Iv lit
Home 0 Work
Phone. C� �l Phone:
Cell
Phone
Office f 2_ C C/ C 0Lq(J,J~L
Sought: !� C�
Candidate I S W c �G'��C®G/��
Mailing address:
IVG/I`l U1fAj
Candidate ICj/S , I ��
email address: l !�- �
YAj4 Dp , G o m .-
Name of
Committee:
Name of Committee
Chairman:
Home Work Cell
Phone: Phone: Phone:
Committee
Mailing address:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I, `� , 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 - - C vfi�i�ZUFi`
Political Treasurer: I '��
Please remit to:
City Clerk's Office
City of Meridian
33 E. Broadway Ave.
Suite 104
Meridian, ID 83642
(208) 888-4433
clerk@meridiancity.org
Home (Z� 10 (0� � (� Work Cell �D � / f �Cl
Phone: / Phone: Phon C�
Treasurer �. I G tib DGI� -
Mailing address: ` �lJ
C5%
Treasurer W N (�C(-�� D�1� ( � �ifLl I% T A �!'% 0 0
Residence address:
Treasurer
email address: S pl 53 /L
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1, FIC- Vfi1.F'�J"()" do
Name of Political Treasurer
the above named candidate or committee.
Signa ure of C idate or Committee Chairman
cep he appqintment as political treasurer for
re of Political