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Form CPF M 102 -0: Campaign Finance Report <br />. Municipal Form <br />Ocoee of Campaign and Political Finance <br />ee�Nl1 j <br />afMw,Awk.un w ' <br />City or Town of. C, -TV Candidate A1*'CrdhA A,RMLK62 Office Y`I KW 6 <br />A %+Fo <br />Please print or type all information, except signatures. h <br />Fill in dates: <br />Monti) Day Year <br />Month <br />Day <br />Year <br />Report ing Period Beginning <br />a 1�� a o 13 <br />Ending f 2 <br />3, <br />o 13 <br />Type of Report: (Check One) ��/ ' <br />8th day preceding 8th day preceding election 0 30th day following election .rY 20th day of January <br />preliminary/primary (Town or Special) ,(Year -End Report)' <br />Pursuant to M.G.L., Chapter 55: <br />1. 1 certify that I am a candidate for or hold Municipal Office. <br />2, I certify that I have not received any contributions, made any expenditui4s, or incurred any obligations during this <br />reporting period, and do not have a campaign Pond Inexistence, ✓ <br />3. 1 certify that 1 do not have a political committee. <br />DATE <br />1, SIGNATURE <br />Signed under the penalties of perjury <br />11. RESIDENTIAL ADDRESS <br />(Street and Number) <br />111. OFFICE SOUGHT <br />LAecu . Mt/ <br />N.TI 6 PVC( o2)r <br />rn <br />rrl <br />cr~ <br />a <br />t <br />11/97 <br />CJ <br />!`e a <br />:i <br />a <br />