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Rick Valenzuela 4SEP C APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER , A 5 � $� 5 o FOR CANDIDATES AND COMMITTEES c7-1y,g (Please Print or Type) 0 �` Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure made by or on beh 414 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. Certific tiNameofon is for (check appropriate box below): CANDIDATE: Candidate: ---------- ------- ------- Home Work Cell Phonee� ©� ® Phone: Phone: 2 v� - officey ` f Sought: 11-14000tJr-t-, �e�-i ?r `-f Candidate Mailing address: Candidate email address. rZ t C{- S PQ -f 55S P- 0V -A -t A -H Dc::, CC) --A Name of COMMITTEE: Committee: Name of Committee Chairman: -- - - ---- -- - --- -- - - -- - ------------ ------------ - - - ---------- Miscellaneous: ❑ Home Work Cell Phone: Phone: Phone: Measure: ❑ Committee Candidate/Measure: Mailing address: � - - - ----- -------- ----- - --- ---- Chairman email address: p CERTIFICATION AND APPOINTMENT 1, -F -,CK VA-t'etixRoJr a , 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 / j Political Treasurer: Home o &pj� Work Cell e��� ��p� Phone: Phone: Phone: Treasurer Mailing address. I 19 8T, y(/t,T A-,-) y r2 6 Treasurer (TGI-r Residence address: Please remit to: Treasurer P--1 C[/6 ��5S email address: City Clerk's Office City of Meridian 33 E. Broadway Ave. Suite 104 Meridian, ID 83642 G (G V A -L e !,�Ke a�- (208) 8884433 clerk@meridian city. org Name of Political Treasurer the above named candidate or committee Signature of Candidate or Committee Chairman do hereb accep the ppoint ent as political treasurer for Signature of Political Treasurer