Certification of Treasurer - Pittman, Kenneth (Kenny) - 5/10/2017RECEIVED & FILED
CITY OF EAGLE
MAY 1 0 2017 7,-1C
Rev. 1/16
File'
Route t"•
STATE OF IDAHO
OFFICE OF THE SECRETARY OF STATE
LAWERENCE DENNEY
APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER
FOR CANDIDATE
(Please Print or Type)
Pursuant to Section 67-6603 (el ), Idaho Code. No Contribution shall be received or expenditure made by or on behalf of a candidate
or politcal committee until he or she appoints a political treasurer and certifies the name and address of the treasurer to the Secretary
of State.
Name of
Candidate:
Home
Phone:
"7/X (
e-67 4ZS3
///6/41/ ?TT/(rA!
WorkCell
PhoneZO, i? '/ f'I60
Phone:
2Ds>;7 «z 3
Office / //
Sought: 6144Ty Ac)`itifCi (
/1/44.4-1 ov,y
Candidate/�' _
Mailing Address: Zs�/2 �/ • A: A.)`'c'14 L C / 6W -Gee ,Thit et o . e3 c ao
Candidate WI/
email address: 776 /41/1 y/?#/ii4Ai, GAS
I, /dol 1y4i .f` , do hereby certify and appoint the following individual who is a
Name of Candidate
registered elector of the state of Idaho as the political treasurer for the above named candidate or committee:
CERTIFICATION AND APPOINTMENT
47e---)4 047///) /24-(4i1
I iz
Name of
Political Treasurer:
Home
Phone:
Treasurer
Mailing Address:
Treasurer
Residence Address: z.‘ -z/2- 709 ve4,04 C-73
Treasurer
email address:
WorkCell
Phone: [CllrS11i'Zl Phone:
zos Sol V25-3
Name of Political ' easurer
named candidate.
do hereby accept the appoi
RETURN THIS FORM TO:
Eagle City Clerk - Eagle City Hall
PO Box 1520 Eagle, ID 83616
(208) 939-6813 Fax: (208) 939-6. 7
Signature of Candidate
po • • al treasurer for the above
R
Signature of Political Treasurer