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Commonwealth <br />of Massachusetts <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Fonul <br />Office of Campaign and Political Finance <br />City or Town of: <br />Lex iAg+a-ry <br />Please print or type all information, except signatures. <br />Reporting Period: Beginning: <br />(IOLA 1St aD� <br />(MM/DD ) <br />Ending: <br />APr;1 C 01-011 <br />( DD/YYYY) <br />Type of Report: (Check One) <br />❑ 8th day preceding preliminary/primary E 8th day preceding election ❑ 30th day following election (town or special) E 20th day of January (Year -End report) <br />Pursuant to M.G.L. Chapter 55: <br />1. I certify that I am a candidate for or currently hold Municipal Office. <br />2.1 certify that I have not received any contributions, made any expenditures, or incurred any obligations during this reporting period, and do not have a campaign fund in existence. <br />3. I certify that I do not have a political committee. <br />DA1E <br />PRINT NAME <br />SIGNATURE <br />RESIDENTIAL ADDRESS <br />Signed under the penalties of perjury (Street and Number) <br />OFFICE SOUGHT <br />PtInc5a mein 'Total- <br />1 1 Laitmcx% c r-cLd Sc-tma 1 Comry it1tt. <br />