Treasurer Certification BensonAPPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 08107
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
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 rr�
Candidate: E /= mS 0
Home �i Work Cell / (J
Phone: �7 3a a L Phone: � 8� S�Y p Phone: r�CO r; d II4,
Office Seat (if
Sought: C % ` Q U /✓C i' L applicable) .
Candidate r
Mailing address:
Candidate
email address:
Name of'i
Committee:
Name of Committee
Chairman:
Home Work Cell
Phone: Phone: Phone:
Committee
Mailing address:
Chairman
email address:
�ICERTIFICATION AND APPOINTMENT
I, — /EERY 6FnfS d Al 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 11 •• ,, 1 )
Political Treasurer: W t I _I /A,
Home Workc� Cell
Phone: p���— p� ,�Q �p Phone: �,�,5 q S—C 6 Phone: 89/40
Treasurer /
Mailing address: p2 oo [.o W S u
M ErZ i b;A r/
TreasurerCo ar�o�',�A,,�N a vv@CJy lal , (vAl
email address: ews✓� GY-�'"' '-
andidate or Committee Chairman
I, D 3- If , do hereby ept the appointment as political treasurer for
Name or Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer