Pollitical Treasurer - Pyper, Mark - 9/6/2013 RECEIVED & FILED
CITY OF EAGLE
G ,z s oy APPOINTMENT AND CERTIFICATION OF POLITICAL TREASUR R SEP 0 6 07
, t , ',4 FOR CANDIDATES AND COMMITTEES
e� ,i.;4: (Please Print or Type)
nn File:
' tr�i 'r¢s�y
-ii;�o� Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or expendit re dii r nn behalf of a
candidate or political committee until he or she appoints a political treasurer and certifies the name- • .•• - . :-. _
to the Secretary of State.
Certification is for(check appropriate box below):
1 CANDIDATE: !Candidate: ‘61\0•44 V.. ‘A\-(01\r\ f
_
1 Home \ Work Cell
E Phone: C� J C\-3� 'Z.e`�3 Phone: Ni A Phone: (V1 ') kk-V3 y� j
Office - Seat(if
Sought: kV). (biA"LA 1 applicable)
Candidate , ,
I
Mailing address: %SS El. . v`(i,a1/4,0\K) C k-u3(....- �0.4z- ) E-Qlx~ II:fl (ifit.■I
Candidate
email address: MC.1‘0:-t14 ",` "�'`^()'y+ rQ G e dXj•owr
Name of
❑ COMMITTEE: 1;Committee:
Name
i Chairman:
Miscellaneous: I Home Work Cell
Phone: Phone: Phone:
Measure: Committee
Mailing address:
Candidate/Measure:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I, ����.� , 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 Or\ �
Political Treasurer
fir. _ .. ,, . ....._.
Home c Work Cell
Phone \2 BJ C , 2,�,y3 Phone: Phone ri) ‘ a. Lk lc
Treasurer t� 1' ,,
Mailing address: C-45 E• (ShCwi\o,4a <<`Q&\L +'\Z,. T,C ".fl I3(00,7
RETURN THIS i Treasurer
email address: - \\ -e(@ p.0^ Ont,V• (.b "n
FORM TO:
Sharon Bergmann
Clerk-Treasurer 4
City of Eagle Signat re o •:'.ate or Committee Chairman
PO Box 1520
361 Gvl�—� �(r
Eagle ID 83616 I, N do hereby accept the appointment as political treasurer for
(208)939-6813 Name of tical Treasurer
Fax:(208)939-6827 the above named candidate or committee.
sharon @cityofeagle.org `1
SignaIe of Political Treasurer