Appointment of Treasurer - Eagle Deserves the Truth, Joan Lyons - 10/27/2015$wATSto APPOINTMENT AND CERTIFICATION OF POLITICAL TRE
FOR CANDIDATES AND COMMITTEES
x� c (Please Print or Type)
r8 �, 04 tiq Pursuant to Section 67- 6603(cl), 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:
Home Work Cell
Phone: Phone: Phone:
Office Seat (if
Sought: applicable)
Candidate
Mailing address:
Candidate
email address:
Name of
COMMITTEE: Committee: EpGtE VE5EPV -E5 —�T(E TRtM
Name of Committee n
Chairman, T7,,, E
Miscellaneous: Home q 3 y- 0 Work Cell
Phone: Phone: Phone:
Measure: ''' Committee
$—/ e
Candidate /Measure: mMailing address: 1/6
SL" Chairman /Y' If,
email address:
CERTIFICATION AND APPOINTMENT
RECEIVED d FILED
�t�Y OF EAGLE Cl
R� Rev. 081, 7
OCT 2 7 2015
iifure made by or on behalf -of a
'me and address of the treasurer
I,
do hereby certify and appoint the following individual who is a registered elector of
Name of Can di e
r Com ittee Chairman
e State of Idaho as the political treasurer for the above named candidate or committee:
Name of 50a n
Political Treasurer:
Home f;5F- Work Cell
Phone: Phone: Phone:
Treasurer
Mailing address:
RETURN THIS
Treasurer
email address: ly, A,
FORM TO:
Sharon Bergmann
Clerk- Treasurer
City of Eagle
Signature of C ndidate or Committee Chairman
PO Box 1520
Eagle ID 83616
/hpahnve d� do hereby accept the appointment as political treasurer for
(208) 939 -6813
Name of Political Treasurer
Fax: (208) 939 -6827
named candidate or committee.��
L-71
sharon @cityofeagle.org
Signature of Political Treasurer