Appointment of Political Treasurer - Soelberg, Craig - 9/4/2015;
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APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
C -t
Rev. 08/07
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):
CANDIDATE: Name of CroJ
Candidate: SOe bei�
Home
Phone: a-o�i �cl —��� hornet
Office
t: �% y f Seat
Sough
�d�� -' ( applicable)
Candidate
Mailing address:
Candidate
email address
Cell
Phone: ,:AO$_ -#q?O — /14 ct a
$a-1 ei
❑ COMMITTEE:
Name of
Committee:
Name of Committee
Chairman:
Miscellaneous: ❑
Home
Work
Phone: Cell
❑Measure:
Phone: Committee Phone.
Candidate/Measure: ❑
Mailing address.
Chairman
email address:
�A CERTIFICATION AND APPOINTMENT
I' 2of r co UQ� , do hereby certify and appoint the following individual who is a re
Name of C lidate or Committee C man registered elector of
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 r
Political Treasurer:
Home J
Work Phone: Cell jp Phone: �8--40q6_G3T7
Phone:
Treasurer
Mailing address: g'� t rq�rr'
Treasurer A, o
email address:
u e %,, a� ,dam �/b, �•0�
Signature of Cand• r Committee Chairman
I, !
Name Political Tre rer do hereby accept the appoln ment as political treasurer for
the above named candidate or committee.
Signature of Political T e surer