Laserfiche WebLink
Breadcrumb Navigation:
Cn <br />or Masmaclnvelb <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />City or Town of: 2 XIN Q)4/ <br />Please print or type al information, except signatures. <br />Reporting Period: Beginning: <br />oa <br />Ending: <br />O$/D( /026/ <br />mlmD/rive) <br />Type of Report: (Check One) _� <br />❑ 81h day preceding preliminary/primary El[ 3Sib day preceding election 0th day following election (town or special) ❑ 20tH day oflnnuary (Year -End report) <br />Pursuant to M.G.L. Chapter 55: <br />1.1 certify that l 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 />3.1 certify that l do not have a political committee. <br />SIGNATURE RESIDENTIAL ADDRESS <br />DATE PRINT NAME Signed under the penalties of perkily and Number) OFFICE SOUGHT <br />rff701 <br />// <br />�� Aa 41 IT 'Perri t( <br />a / .per/ <br />1/ �/(Sttreet <br />3U i1 ar Scc7, <br />// / <br />l/0as;, L}/i ogor.7� <br />_. <br />J <br />J <br />/ <br />7 <br />