Political Treasurer - Laughlin, Jeff - 10/7/2013APPOINTMENTAND CERTIFICATION OF POLITICAL TREASURER o"'
FOR CANDIDATES AND COMMITTEES fiev. 007
(Please Print or Type)
Purauant to Section 67- 66RO), Idaho Code. No aontAbution shad be received or eWdUe Trade by or on behalf of a
oar dldate or political conifthe until he or she appoints a political treasurer and oertlfles the name and address of the treasurer
to the Secretary of State.
Certifloation is for (check appropriate box below);
Name of
CANDIDATE: Candidate:
i
jPho"m �:.x�- Phone. 9 1001ilir o_ -�
i once seat (0 Ig
Soqht
ale)
[Mailing ,address; +
Csndidsb ��ll
email address Vi l� i f V1 OIO l �'�! Yh1/lb1S •/UI l
I Name of
COMMITTEE: IcommiEbee:
�r
Nome of cammitiee
j Chairman.
Miscellaneous: Home
Phone.
Measure: lCommittee _w_.
�Maing egs: res
Canddatp-1Measure: El it_
4Chaq'rtran
email adftss:
Waft Cell
Phone. Phone:
CERTIFICATION AND APPOINTMENT
I,
CITY OF EAGLE
16%1 Nb do hereby cer* and appoint the following individuid who is a registered eleclor of
Dame of Canddate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Porfti Treasurer
-4—U n. it-) 6 �,. X-
Phone: .w..16s Z- P We: 4'- 1$ jD� Phone:
TTreasurer
Malling aftew Anw& Stt-,- 16) CyWid JQ- "�((f
RETURN THIS
FORM TO:
Sharon Bergrnann
Clefk- Treasurer
City of Eagle
PO ;Sox 1520
Eagle ID 83616
(208) 939-6813
Fax (208) 939 -MT
sharon@dtyofw#e.org
Truer /,� 0.
,'emal address: 'Pd�'1 _ %_�� / �— _
I, (f , do hereby
Name of Pol i Treasures
the above ri ned candidate or committee.
or Committee Chairman
as political treasurer for