Appointment of Treasurer - Tanner, Gary - 10/7/2011 ,SAT s,t APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER C-t
�¢,: ,1,,, Rev.08/07
- �. ", ' FOR CANDIDATES AND COMMITTEES
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�'�r �4 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
�).7 CANDIDATE: Candidate: ( ' ✓'J' V1 v
Home Work ,_,
Phone: dC% '' /1?5 7— Phone: Clq 3Y( ( 8 oO Phone: 5c . (f 5 O &6'6
Office Seat(if
Sought: C ) t t-) C CdiL1-vC/ applicable)
Candidate `J Mailing address: 3q( 1 ( ■ d i )l'K j--a5 (Z _ D $3(61 :
Candidate
email address: c2 1-CI ca✓Ie 6.--- f J
A.GJ e,. 1/0,6-<-1, C 01---)
Name of
COMMITTEE: Committee:
Name of Committee
Chairman:
Miscellaneous: I I Home Work Cell
Phone: Phone: Phone:
Measure: Committee
Mailing address:
Candidate/Measure: I
Chairman
email address:
'7��� CERTIFICATION AND APPOINTMENT
• I, ( /s_`� t w i" vi e'i'� ,do hereby certify and appoint the following individual who is a registered elector of
Name of Can idate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Name of
Political Treasurer: C 'q .,-,) -r-4,, ,, v
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Home G �1 1 Work �r {� Cell
Phone: as 6 ( 3ci 1?S d� Phone: a6 o 3 0 l'i gop Phone: 68 5° -`&G 4
Treasurer v� /� 7 / /� (,,
Mailing address: ! ( tv - ( hiG e / rS J $O�� C
Treasurer ( ^
RETURN THIS email address: 3 1 -v. 1 kip 41 theteS i i-j/r fl) 76'`" '
FORM TO: /
Sharon Bergmann
Clerk-Treasurer _..
City of Eagle Signature of CaO idate r Committee Chairman
PO Box 1520 rr
Eagle ID 83616 I, C _. a r mil,r n ee---- ,do hereby accept the appointment as political treasurer for
(208)939-6813 Name of Political Treasurer
Fax:(208)939-6827 the above named candidate or committee. --
sharon@cityofeagle.org ~:
-- - Signature o; E't.: easurer
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