HomeMy WebLinkAbout2011-12-31-Zurlo-OCPFForm CPF M 10240: Campaign Finance Report
Iblunicipal Form
Office of Campaign and Political Finance
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of Mmach use ttc
City or Town of t%t ,QCA-Uq-� Candidate P- Office f' i
Please print or type all information, except signatures.
Fill in dates; Month
Day Year
Month
Day Year
Reporting Period Beginning 1
i Z l i
Ending t 2>
1 Z L
Type of Report; (Check One) .
0 8th day preceding 0 8th day preceding election 30th day following election F 20th day of January
preliminary/primary (Town or Special) (Year -End Report)'
Pursuant to M.G.L., Chapter 55;
I, I certify that I am a candidate for or hold Municipal Office,
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.
3. I certify that I do not have a political committee,
DATE
1, SIGNATURE
Sig gd u der the penalties of perjury
II. RESIDENTIAL ADDRESS
(Street and Number)
III, OFFICE SOUGHT
J
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11/97
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