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Caw w nredp <br />of MouSUouu, <br />Form CPF M 102 -0: Campaign Finance Report <br />Municipal Form <br />Olive orCampaign and Political Finance <br />City or Town of <br />Candidate ,)QbOauk 3CObin Offiee RO(-Qnit). -- <br />Please print or type all Information, except signatures. <br />Fill in dates: Mojy$bt Day Year <br />Reporting Period Beginning -4Ci.rjict {y / 2.010 Ending <br />r Day Year <br />Y o`l'l i-5 Z� l 5 <br />Type of Report: (Check One) <br />o 8th day preceding t J 8th day preceding election 0 301h day following election 0 20th day of January <br />preliminary/primary (Town or Special) <br />(Year -End Report)' <br />Pursuant to M.G.L., Chapter 55: <br />I. I certify that I am a candidate for or hold Municipal Office. <br />2. I certify that I 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. I certify that I do not have a political committee. <br />DATE <br />I. SIGNATURE <br />Sigped u der t, a pe allies of perjury <br />H. RESIDENTIAL ADDRESS <br />(Street and Number) <br />III. OFFICE SOUGHT <br />1l7 At),, ,,sd, red <br />Moje,-So 7 <br />L4J <br />c ^a <br />