Appointment of Political Treasurer - Conservative Citizens, for Thoughtful Growth - 10/15/2019'
candidate or political cornrnittee untiI he or she appoints a political tresurer nd certifies th narne anci address of the treasurer
to the Secretary of State.
Certification is for (theck appropriate box below):
APPOINTMENT AND CERTF1CATION OF POLLTICAL TREASURER
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
/ receivedPursuant..r,6766O3(c1),Idaho..Nocontrlbution..be.made.orbehalf.~. `'.''.on'. -- expenditure ' '
CITY OF EA3LF
�
w
en'
{
�
/
'
1,1tO :
�
'-`.'``TE:
__._____ _____
Name of
Condidole:
Home
Phone:
Office
Soujht:
C'..`,
`'- ...^s:
C'.,`
email address:
_
Work
Phone:
`^',
1 COMMITTEE: committee, Conservative Citizens for Thoughtful Growth
MiscoHaneous:
Measure:
_
___
Narne of ComrnRcu
Steve Martinez
Chairman:
_` HornE
Phone.
L..] Committee 363� .`''`Edge``Eagle, ` .'61`
Candidate/Measure: Mailing�.``E. F'
C.harrnan fr„4„..b.i
'~`.'..-'`'.~'.`^."`-.
-
.^`
ne: (208) 854-1888
_
• ___ --.
- ____._. - -'.
Cell
Phone:
Cell
Phone:
_
CERTIFICATION AND A',.'1-,...'
1, Steve Martniez do hereby certify and appoint the following individual who is a registered elector of
Name of
the State of Idaho as the politicatreasurer for the above named carididate or committee
'^-' Political Treasurer: Douglas E. Black
-
''-'''
Eagle City Cler.k
660 E. Civic Ln.
Fig1e, ID 83616
2O8-93968.13
'``.'
argcityoteagie‘org
Horne WorI<
phone, (208) 344-2666
Phone:
- ''
TrOBStifer
''''-`'':''/ E. River Quarry Ct. Eagle, ID 83616
Treasurer `.`^/.�'�',�.�n.~ // 8`..o
Rosidenceaddres605''_ . --. `
Treasurer douggittlemorris.com
email address:
_ _.._-.-_•
.._
Phone:
• ••••••• • ••• •
Signature of Candidate or Cornmitte Chainnan
.
Douglas E. B!ac..do hereby acc .t the appointment '''`'`'`'^`'''''
'... of...'.',.'
the above named candidate or committee.
gnature 0
. .
Political Treasurer
�
~
�