Political Treasurer - Kunz, Jeff - 10/17/2012%%10/17/2012 14:16 2089392099 JEFF KUNZ PAGE 01/01
%Ito
RECEIVED & FILED
CITY OF EAGLE 1
:fel•
*y APPOINTMENT AND CERTIFICATION OF POLITICAL TREAS RER c 1
+'," �� 1 T 11/11
t1 FOR CANDIDATES AND COMMITTEES
(Please Print or Type) Fiie;
' ��q�` .Route o'
7,., ; Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or expe • ..e b, • . : .
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
CANDIDATE: 1 Candidate:
Home Work Cell
Phone; Phone: Phone:
Office District
Sought: Number: Party
■Candidate
jMailing address:
Candidate:.,.....,..._w.�,— �—�----�------ ---------- ..—_----•---�.___..
email address:
o .. :.....
N .. .......:. .::.-.:.. .._,......., ..,_,.., ..::,,w. ,
ri- COMMITTEE: Commame ittef e: pmt ne- - ln..zc o.\I°•2 �''24C ‘b.3 k°-‘\ s - p
Name of Committee Party
Party: Chairman: -1 K■-rr- Affiliation(if any):
Miscellaneous: I I I Home Work Cell
0-2b%) Work N iA
i Phone: Phone. Phone
r..•_....._ tte
,.:
Measure: . :
Committee 1-`,-\3 E SKA�►t D
Mailing address: E ot<a; t $3G\
Candidate/Measure: _. . _ _ .._.._ ......_....__ _.. ........----...._.._.. _...: .:._,.�
Chairman._ _._..-.---_._.---._..._ ._
email address: ICA—1C'> e. ci,„4,_v , ��
CERTIFICATION AND APPOINTMENT
I, ...SeA KNI>ti.� ,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
Political Treasurer: -a c.-4 1(vr\,+.
Home Work Cell
Phone: � $��3�'�` Phone; N y�` Phone:
Treasurer
Mailing address: a-a-1.- , S 1440K‘
Imo. E'3 i(� �63(e■Co
Treasurer
Residence address: .)"'a-13 �-SkAN-..vCl(), .o l.A._, ►rJ $3(e,\C
RETURN THIS 1 Treasurer �4&-14041^,. ..,0 G
f•. email address: -1 ��(1,W o SLR. (\-�'-•'c
FORMTO: ...-.r.-. -r-. ..._..._. _ ......._. _._ µ:. _.___ _ . ._...
-Ben-YeeFee /41 +�!r
kY Seeretety-ef Cteto- gnature of Candidate or Committee Chairman
r
- -g, 7 I, �z " "'-
r -pp , do hereby accept the appointment as political treasurer for
- cr toise,11313.770:170$8 Name of Political Treasurer
the above named candidate or committee. 4H1 I
r) F•arr2013)732F2282 "5lgnature of Political Treasurer