Appointment of Treasurer, Micelle Landa - Murphree, rick - 8/24/2015RECEIVED & FILED
CITY OF EAGLE
¢PAZ s togy APPOINTMENT AND CERTIFICATION OF POLITICAL TREA UREI�UG 2 4 201 ev. o o1
y r o FOR CANDIDATES AND COMMITTEES
(Please Print or Type) File:
Pursuant to Section 67- 6603(c1), Idaho Code. No contribution shall be received or exp ntR�@e- fjy- eFea- tali.of�
candidate or political committee until he or she appoints a political treasurer and certifies the name and address of e reasure
to the Secretary of State.
Certification is for (check appropriate box below):
Ed CANDIDATE:
E COMMITTEE:
Name of /j
Candidate: C.�-- u fL9 � Q"r,C
Home Work
Phone: Phone:
Office
Sought: C4+
Candidate
Mailing address:
Candidate
email address:
CovN 6L4
Seat (if
applicable)
Cell
Phone: 8 (� — Gl 0%
Name of
Committee: (2,tC`L_ t,,Kuv_Q1-,rec
Name of Committee
Chairman:��/ 1 l%
Miscellaneous: F—] Home Work
Phone: Phone:
Measure: ❑ Committee
Mailing address: (y 3
Candidate /Measure: ❑
I,..4Avn;A-
Cell
Phone: 6 6 9 7
Chairman
email address:
.�u
CERTIFICATION AND APPOINTMENT
I, _c.►� T , do hereby certify and appoint the following individual who is a registered elector of
ivame ui %,dnaidate 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: �'f �che��� LF A, CJ�
Home Work Cell
Phone: Phone: Phone: &�j
Treasurer
Mailing address: 63 9 Zile le -7:D 6 6,1 &
Treasurer
email address:
Signature of Candidate or Committee Chairman
I, mt, 11 L A44cD 4 , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer