Appointment of Treasurer, Ruth Hetherington - Parrie, Dave - 8/26/2019C-1
Rev. 12/15
APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER
FOR CANDIDATES AND COMMITTEES
(Please print or type)
Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a candidate or
political committee until the candidate or political committee appoints a political treasurer and certifies the name and address of the
treasurer to the County Clerk.
Ce °fication is for: (check appropriate box)
CANDIDATE:
o COMMITTEE:
o Party
o Miscellaneous
o Measure
o Candidate/Measure
JOAO e-- e -
Name of Political Candidate
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Home Phone ' Work Phone Cell Phone„)
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Office Sought -_• D' ici #4 Party .
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Candidate Mailing Address
Candidate E-mail Address
Name oiCommittee
Name of Committee Chairman
Home Phone Work Phone Cell Phone
Committee Mailing Address
Chairman E-mail address
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Name of Candidate br Committee Chairman
State of Idaho as the political treasurer for the above named candidate or committee:
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Party Affiliation Of any)
CERTIFICATION AND APPOINTMENT
hereby certify and appoint the following individual who is a registered elector of the
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Marne afPolilica Treasurer
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Home Phone Work Phone
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Treasurer Mailing Address
Treasurer E-mail Address
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400 N BenjarrniThx, ste #100
Bois -63-704
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Name of Political Treasurer
for the above named candidate or committee:
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Cell Phone
ereby accept the appointment as the political treasurer
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t re of Par cal
Ph net (2081---;k- -; 860
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Fax # ,-;• 87-6939
Signature of Candidate o ittee Chairman