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pwvaxum <br />irMW thuto <br />Form CPF M 102 -0: Campaign Finance Report <br />Municipal Form <br />Wee of Campaign and Polities! Finance <br />City or Town of 1-.- fXtni 10h <br />Candidate (- Livle_s <br />Please print or type all Information, except signatures. <br />rtile Off icefIShnto <br />Fill in dates: Month Day Year Month <br />Reporting Period Beginning :TG ry �i)f' //P <br />Ending r <br />Day <br />31 <br />Year <br />aIS <br />Type of Report: (Check One) <br />8th day preceding 0 8th day preceding election <br />preliminary/primary <br />30th day following election 20th day of January <br />(Year -End Report)' <br />(Town or Special) <br />Pursuant to M.G.L., Chapter 55: <br />1. 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 />I. SIGNATURE <br />Signed under perjury <br />11. RESIDENTIAL ADDRESS <br />(Street and Nutnher) <br />III. OFFICE SOUGHT <br />(� <br />/%-0I/" <br />tthheeg /�naltiieeess�off <br />_7�.i' � <br />7 <br />qt Regal ST <br />��,- (/ /% <br />(Yt sv ) �O 7"°I <br />C. ■ <br />11/97 <br />1J <br />