Treasurer Certification TownsendAPPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER 0-0
Rev. 06107
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
Pursuant to Section 67.6603(c1), Idaho Code. No rwnlribullon shall be received or expenditure made by or on behalf of a
candidate or political committee until Ile or she appoints apolitical treasurer and certifies the name and address of the treasurer
to the Secretary of Slate.
Cerllficatlon Is for (check appropriate box below):
- — --
—'FI _ Name of
Work Cell
e:�6 7-o�il�7Phone; Phone:
Seal (if
hl: C V li✓i��� r r' � �' applicable)
[date
g address:
'dale
address:
Name of
❑ COMMITTEE: Committee:
Miscellaneous: El I Nome Work
Phone: Phone
Meassre:I
I 1 r`nmmlllmo
Candidale/Measure: I...
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CERTIFICATION AND APPOINTMENT
6 P Ya�g W y �l ft n do hereby certify and appoint the following Individual who is a registered elector of
Name of Candidate or Col�mll ee Chairman
the Stale of Idaho asthwpolitical treasurer for the above named candidate or committee:
Name of I I'
Political Treasurer.
Home// Work Call
Phone: Z(�-qF-bggr Phone: Phone:
RETURN THIS
FORM TO;
Jaycee Holman
City Clerk
City of Meridian
33 E, BroadwalrAve.
Meridian ID 03642
(208) 088.4433
Fax: (208) 8811.4218
Treasurer ram
Mailing
address:
Treasurer
email address:
' Signature of Candidate or Committee Chairman
do hereby accept the appointment as political treasurer for
Name ofPolitical Treasurer
the above named candidate or committee.
516Mure of P tical Treasurer