Appointment of Treaurer,Diane McLaughlin - Eagle United, - 10/8/201504/01/2015 09:18 FAX 334 2282 ID Secretary of State
CITY OF EAGLE oo2 /pot
OCT 00 2015
APPOINTMENTAND CERTIFICATION OF POLITICAL
FOR CANDIDATES AND COMMITTEES
4D (Please Print or Type)
Pursuant to Section 67- 6603(ct), Idaho Code. No mrNibutlon shall be received or expendMn made by or on behalf of a
candidate or political committee and he or she appohds a political treasurer and certifies the nanre and address of the treasurer
to the Secretary of State.
Certification is for (check appropriate box below):
❑ CANDIDATE: Candloate:
'Home Work _ Cep rT ..
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sought Number. Pa n r ^I- �V-
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Mailing address: "Tl
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COMMITTEE: Camminoe:
Name of Committee
Party: E-] _ C ha lma... n: � _. - .. PA.. Y
e-� ANia tan (ff wy):
Miscellaneous: Home ftrk
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Phone: ... _ _ .._...Plane: _ �� 57/7/
Measure: ❑: cMla,alarmg aaddress: L '- �t
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CERTIFICATION AND' PPOINTME:NT
Kf 0 -m (r do hereby certify and appoint the following individual who is a registered elector of
Dime of Candidate or committee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Name �t 1q / A pL f/
Pd reasuw. i L-KU , 1\_ l d. n _..
Home yyoai !/�(�
Phone: Phone: - . ... Phone. ( m..
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rleasurar _ C Ii
Maang address:
TrP.asiaer
Residence ad&ess: 6(o
RETURN THIS Treasurer `
emaraddress dd �r�
FORM T0:
tawerence Denney nR�.
Secretary of State n/ Signabae of Land' or Committee Chairman
Eons Divis on �_
PO Box 83720 I. E a� ,'rte YY1C 1 rl I h I do hereby accept the appointment as political treasurer for
Boise. ID 8372(1.0080 Name dA outicel reasortx
(208) 334 -2852 the above named candidate or committee.
Fax: (208) 334 ^ 2282 /( �Signaturere of Polka Treasure?l