Treasurers Certification LongT e APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 08/07
o FOR CANDIDATES AND COMMITTEES
c (Please Print or Type)
* Pursuant to Section 67-6603(cl), 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):
Name of
❑E CANDIDATE: candidate: Michael V. Long
Home 208 340-2550 horne: 208 869-9857Phone:
Phone: ne:
Office Seat (if
Sought: City Council applicable) 5
Mai address: 1104 N West 6th Street
Candidate
mail address: Long4Council@gmail.com
Name of
❑ COMMITTEE: Committee:
Name of Committee...._.
Chairman:
Miscellaneous: ❑ Home Work Cell
Phone: Phone: Phone:
Measure:--
Committee
CandidatelMeasure: - - Mailing address
Chairman
email address:
Michael V. Long
CERTIFICATION AND APPOINTMENT
Name of Candidate or Committee Chairman , do hereby certify and appoint the following individual who is a registered elector of
the State of Idaho as the political treasurer for the above named candidate or committee:
Nameof
Michael V. LonPoliticalPoliticall
PoTreasurer:
Michael
340-2550 w ae: 208 869-9857 Phocelne:
Phone:
Treasurer
Mailing address: 1104 N West 6th Street
Treasurer-_-
emailaddress:Long4Council@gmail.com -
of Candide or a mlttee Chairman
Michael V. Long do herebyacceptiSig:npgof
intment as political treasurer for
Name of Political Treasurer
�E C E I VL' ove named candidate or committee.
SEP 0 0 2013 Political Treasurer
CITY0F01d8 r�f...
CITY CLERKS OFFICE