Appointment of Treasurer, Robert John Petersen - Hadden, Christopher - 8/26/2019APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER
FOR CANDIDATES AND COMMITTEES
(Please Print or Type)
Pursuant to Section 67-6603(0, 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.
0-1
Rev. 1/15
Certification is for (check appropriate bo)c.t?elow):
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CANDIDATE:
COMMITTEE:
Miscellaneous:
Measure: L
Candidate/Measure:
Name of
Candidat
Home
Phone:
Office
Sought:
ri , 4. )‘
ezt, /74 Work Phone:
Candidate
Mailing address:
Candidate
email address:
Name of
Committee:
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r
IL)
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Name of Committee
Chairman:
Home
Phone:
Committee
Mailing address:
Chairman
email address:
Work
Phone:
Cell _
Phone: (7 5 —
tic
Ceztcjv 'I, u
Cell
Phone:
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CERTIFICATION AND APPOINTMENT
s - , do hereby certify and appoint the following individual who is a registered elector of
Name of Caniidate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate.oriommittee:
Name of -(ie ( e -
Political Treasurer:
Submit to:
Eagle City Clerk
660 E. Civic Ln.
Eagle, ID 83616
208- 939-6813
e-mail:
cfr@cityofeagle.org
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Phone: ( Phone: Phone:
Treasurer .—
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Mailing address:
Treasurer
Residence address:
Treasurer
-
email address: i VC" L. ., /7E? – C-CP7
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...,SigrAre of Candidate or Committee Chairman
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cecdo hereby 7 accept the appointment
Name of Political Treasurer
the above named candidate or committee.
ure of Political Treasurer