Appointment of Treasurer, Stan Bastian - Bastian, Stan - 9/3/2019APOINTME\JTAND CERT F CAT ON OF POLIT CALTEASUER
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Rev. 1115
(Please Print or Type)
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):
se/ CANDIDATE:
COMMITTEE:
Miscellaneous:
Measure:
Candidate/Measure:
Name of
Candidate:
a )1 j3X>S4/144,49
Home 33p3 WCv,tss1 jj1Work ve4iJ
Phone: S'm,� (Es Cef( �ha��
Once
Sought:
Candidate &yyt e_
Mailing address' soimq.e.
Candidate
email address'
$a)v'I'�
s-ja a.,61-; #14 5 /1 eein
Name of ap���
Committee:
Name of Committee
Chairman:
Home
Phone:
Committee
Mailing address:
Chairman
email address:
Work
Phone:
Cell .26g.—1p21—?jFf,5
Phone:
Cell 305 -141 3M5Phone:
CERTIFICATION AND APPOINTMENT
I,
54a -I a�Q, do hereby certify and appoint the following individual who is a registered elector of
Name of Candidate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Name of
Political Treasurer: .5.1.74--h (.a6
Home Lr1 QS 4t,..‘ Work
Phone: Phone:
Treasurer
Mailing address:
Submit to:
Eagle City Clerk
660 E. Civic Ln.
Eagle, ID 83616
208-939-6813
e-mail:
cfr@cityofeagle.org
Treasurer
Residence address:
Treasurer
email address:
Nam/ .T.IiticaI reasurer
the above named candidate or committee.
Cell D,5 — 702 —.3Q 5
Phone:
Signature o F .>:idate or Committee Chairman
do hereby accept the appointment as political treasurer for
Si.jat,/of'
ica Treasurer