Appointment of Treasurer, Joanne Marie Pence - Pence, Zachary - 8/24/2015II,T 8 APPOINTMENT AND CERTIFICATION OF POLITICAL THE
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
'�r� og ti4 Pursuant to Section 67- 6603(c1), Idaho Code. No contribution shall be received or e
candidate or political committee until he or she appoints a political treasurer and certifies
to the Secretary of State.
Certification is for (check appropriate box below):
Name of
CANDIDATE: Candidate: @Ar✓e_,
Home
Phone:
Work
Phone:
Office
Sought: C. ► +y G OLa�6i l
Candidate
Mailing address: `fj SCI 1 5� )CLY
Candidate W
email address: Z e�Get 1 c pm
Name of
❑ COMMITTEE: Committee:
Name of Committee
Chairman:
Miscellaneous: ❑
Home
Phone:
Measure: ❑
Committee
Candidate/Measure: ❑
Mailing address:
Chairman
email address:
Work
Phone:
Seat (if
applicable)
RECEIVED & FILED
CITY OF EAGLE C -1
URER ev. 08/07
AUG 2 4 2099
File:
AWrftffade by or on be Taff o
Cell
Phone: 208- 3yo_076q
E ,x3le, I ® e 36 16
CERTIFICATION AND APPOINTMENT
Cell
Phone:
I, zac.hacv pence , 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 J t) i��� , p 4 e-
Political Treasurer: �`
Home Work Cell _ _
Phone: o��"le}'3$��J��j Phone: Phone: X06— 5k —g5j43
Treasurer G�`�
Mailing address: 0 W j .,b (4-�j ( ( , 15
Treasurer
email address: \t�Q,N� (� �{� ► C,b -yt,�
re of Candidate or Committee Chairman
I, 3 df\ rt K ► , do hereby accept the appointment as political treasurer for
Name of Political Treasurer
the above named candidate or committee.
Signature of Political Treasurer