Political Treasurer Joki�QATso� APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. o C-1
FOR CANDIDATES AND COMMITTEES
a (Please Print or Type)
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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:
Name of
Candidate: uiueo
Home (�/' Work Cell
Phone: 8 D I �j 2 Phone: Phone:
Office I Seal (if
Sought: Ct � ncr ` applicable) 4—
Candidate �7
Mailing address: 2G 2 �j C e
--_ f— �5f_—C�c Mise n`'r/
Candidate �M
email address: B l S h M
❑ COMMITTEE:
Miscellaneous: ❑
Measure: ❑
Candidate/Measure: ❑
Name of
Committee:
Name of Committee
Chairman:
Home Work Cell
Phone: Phone: Phone:
Committee
Mailing address:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I,y1SSe jD 1 , 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:
RETURN THIS
FORM TO:
Jaycee Holman
City Clerk
City of Meridian
33 E. Broadway Ave.
Meridian ID 83642
(208) 8884433
Fax: (208) 888-4218
jholman@meridiancity.org
Home��Jj p Work Cell
Phone: Zj O 1' — 3 2, S � Phone: Phone: l9 0 1
Treasurer
Mailing address: 2226 - 2a -Si C k rftU6? �) V I 4or l ar) I
Treasurer
email address: �� 8 ( ® S h • C ii'i
y v
44
_11 Signature of Candi f or Commie `Chairman
I, �ussel� V �l do hereby accept the ap i ent as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Si alur of olitical Treasurer
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