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�s <br />Form CPF M 102 -0: Campaign Finance Report <br />Municipal Form <br />OOke of Campaign and Political Finance <br />eeusenwulla <br />of hlun Daum <br />City or Town of:, <br />Please print or type all information, except signatures. <br />Fill in dates: Month Day Year Month Day nY�teaI <br />Reporting Period Beginning Dpattktfh '�}�1.1-- . Ending_peePw.b� �� 2u)33_ <br />Type of Report: (Check One) <br />8th day preceding 8th day preceding election 0 30th day following election 20th day of January <br />preliminarviprimary (Town or Special) (Year -End Report)- <br />Pursuant to M.G.L., Chapter 55: <br />I. 1 certify that I am a candidate for or hold Municipal Office. <br />2. l certify that t have not received any contributions. made any expenditures, or incurred any obligations during this <br />reporting period, and do not have a campaign fund in existence. <br />3. 1 certify that I do not have a political committee. <br />DATE <br />L SIGNATURE <br />Signed under the pe hies of perjury <br />11, RESIDENTIAL ADDRESS <br />(Street and Number) <br />Ill. OFFICE SOUGHT <br />_ <br />I � PE+�I T'rrCP'� <br />�lgn•tIn �44�' <br />N <br />O <br />x-X C- <br />CJI tr; <br />o t_- <br />ri a <br />x <br />f D9/ <br />0 <br />