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CtntaewWlh <br />,f MwttheuM <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Form <br />One otCampaign and Political Finance <br />City or Town of: <br />L.? X(LLShLI <br />Candidate L -80 NC ceeil office /4US(*j'Wk J <br />Please print or type all information, except signatures. <br />Fill in dates: Month Day Year Month Day Year , . <br />Reporting Period Beginning I 1 G ( Sr Ending a/ 1.3 .2-0l45 <br />Type of Report: (Check One) <br />kr 8th day preceding 0 8th day preceding election ❑ 30th 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 1 am a candidate for or hold Municipal Office. <br />2, 1 certify that 1 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 1 do not have a political committee. <br />DATE <br />NATURE <br />Signed under e penalties f�erjury <br />11. RESIDENTIAL ADDRESS <br />(Street and Number) <br />III. OFFICE SOUGHT <br />Zs'(`/ <br />e/n <br />n ^c�- <br />`I5 f Lt4Ji. S( <br />^�,/� `��) <br />H vsi �/4/L6g1 <br />✓ <br />r,) <br />11/97 <br />0 <br />