Certification of Political Treasurer MunsonAPPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C4 Rev. 001077
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
Pursuant to Section 87-8803(c1), Idaho Code. No conlrlbullon 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 cedifies the name and address of the treasurer
to the Secretary of State.
Ce i8calion Is for (check appropriate box below)
--
Name of
- - - -- .._ — --
CANDIDATE: Candidate: -
Home Work Cell
Phone. Phone: Phone:
of0os//i� Seat(If
Sou-hl:,.e D Cs A%�.l � � /� Ali ®pplloable)
Candidate
Malin®address:
email address:
Name of
❑ COMMITTEE: commillse:
Name of Committee
Chairman:
Miscellaneous: n
Measure: I-1
Candidate/Measure: ❑
Work Cell
Phone: Phone:
CERTIFICATION AND APPOINTMENT
do hereby certify and appoint the following Individual who Is a registered elector of
ams of Cattdldale or ommhlee Chairmen
the State of Idaho as the political treasurer for the above named candidate or committee:
Name al
Political Treasurer. n!
Home Work Call
Phone: Zo$S SS 9/fprc Phone: � 8`ff So -77 phone:
e: .. .-
Mailings 3847 C/SrJa/� G� MzR4r', 83614-6
Melling address: }
RETURN THIS
FORM TO:
Jaycee Holman
City Clerk
City of Meridian
33 E. BroadwsyAvs.
Meridian ID 83842
(208) 888-4433
Fax: (208) 888.4218
LI A
gnature of Candidate & Committee Chairman
I, do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Slg a r e of Political Treasurer