Appointment of Treasurer, Julie Olsen - Olsen, Mike - 9/2/2015�`s saw APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 0807
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
r o4ti 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: •����_ ���_
Home Work Cell
Phone: Phone: Phone
04k- —
Offi ce Seat (if
Sought: C- ^ Y C , fe1_ _ � applicable)
Candidate –9 �s
Mailing address: VoB lo 2_l.! 3 6
2
Candidate
email address:
Work
Phone:
CERTIFICATION AND APPOINTMENT
I, ()OTKa 01. j C- 1v , 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 @cityofeag le.org
Name -5Qt & 0`
Political l Treasurer. 1� l
Home Work Cell
Phone: Phone: PhoneaQ -�j L �j
Treasurer t r
Mailing address: VQ VG TO !�66 16
Treasurer
email address:
Signature of Candidate or Committee Chairman
0\6, , , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature 0 Political Treasurer
Name of
❑ COMMITTEE:
Committee:
Name of Committee
Chairman:
Miscellaneous: ❑
rHome
Phone:
Measure: ❑
Committee
Mailing address:
Candidate /Measure:
❑
Chairman
email address:
Work
Phone:
CERTIFICATION AND APPOINTMENT
I, ()OTKa 01. j C- 1v , 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 @cityofeag le.org
Name -5Qt & 0`
Political l Treasurer. 1� l
Home Work Cell
Phone: Phone: PhoneaQ -�j L �j
Treasurer t r
Mailing address: VQ VG TO !�66 16
Treasurer
email address:
Signature of Candidate or Committee Chairman
0\6, , , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature 0 Political Treasurer