Appointment of Treasurer, Jeff Laughlin - Laughlin, Jeff - 9/2/2015.,To APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C -'
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o� FOR CANDIDATES AND COMMITTEES Rev, 08107
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Pursuant to Section 67- 6603(c1), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a
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: Candidate: �- L aV5 h
Home V O r Work Cell
Phone: rjsk Phone: Phone:
Office /' 6 M� Seat (if
Sought: applicable)
Candidate
Mailing address:3 /FOB w G old Fa-f L- b 1Z
Candidate ;rp rr36 /C
email address: cgW040 4e; ML Co vtn
CERTIFICATION AND APPOINTMENT
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:
RETURN THIS
FORM TO:
Sharon Bergmann
Clerk- Treasurer
City of Eagle
PO Box 1520
Eagle ID 83616
(208) 939 -6813
Fax: (208) 939 -6827
Sharon @cityofeagle.org
Name of
Political Treasurer: ���' -�' L- a4j a 1%(r n
Home a0 Work
Phone: 3 fr -3FLOS Phone:
Treasurer
Mailing address: 590 `� G ° a {a�•rk pQ
Treasurer
F'�9 /�. �ro S3G1j
email address:
Cell
Phone:
of ZCandidate or Committee Chairman
do hereby accept the appointmen s liticai treasurer for
Name of Political Treasurer
the above named candidate or committee.
5 ature of Political Treasurer
Name of
❑ COMMITTEE:
Committee:
Name of Committee
Chairman:
Miscellaneous: ❑
Home Work Cell
Phone: Phone: Phone.
Measure: ❑
Committee
Mailing address:
Candidate /Measure: El
Chairman
email address:
CERTIFICATION AND APPOINTMENT
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:
RETURN THIS
FORM TO:
Sharon Bergmann
Clerk- Treasurer
City of Eagle
PO Box 1520
Eagle ID 83616
(208) 939 -6813
Fax: (208) 939 -6827
Sharon @cityofeagle.org
Name of
Political Treasurer: ���' -�' L- a4j a 1%(r n
Home a0 Work
Phone: 3 fr -3FLOS Phone:
Treasurer
Mailing address: 590 `� G ° a {a�•rk pQ
Treasurer
F'�9 /�. �ro S3G1j
email address:
Cell
Phone:
of ZCandidate or Committee Chairman
do hereby accept the appointmen s liticai treasurer for
Name of Political Treasurer
the above named candidate or committee.
5 ature of Political Treasurer