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C,. nwetlU <br />atMw¢huuw . <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />City or Town of: <br />` pp flfl sC�too ( <br />Candidate}�C5 a �r5 A- Mesva Lr,utioffice Cv.«t,t.rt 112e <br />Please print or type all Information, except signatures. <br />Fill in dates: Month Day Year Month Day Year <br />Reporting Period Beginning .1 fw a w ) Le I) Ending P .ec. 3 1 a <br />Type of Report: (Check One) <br />o 8th day preceding 0 8th day preceding election 0 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 />1. 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 />1. SIGNATURE <br />Signed under the penalties of perjury <br />IL RESIDENTIAL ADDRESS <br />(Street and Number) <br />11I. OFFICE SOUGHT <br />7- /2e /j <br />c$..Ao a-L; ,f,. z <br />3a Sloa - Ro1,_ o� <br />{ j j j <br />Sc too l C - thee <br />L_ <br />11/97 <br />6�J <br />