HomeMy WebLinkAbout2013-12-31-Brown-OCPFForm CPT+' M 102.0: Campaign T'inauco Roport '
Municipal T'ortn
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pleaso print or typo all Information, except signatures,
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111 in delesl Month Day Your M(muh Day Year
Reporting Period Beginning h 2 c Ending -
Type of Raportt (Che.ok Ono)
8th day preceding l7 81h day preceding election 30th day following election 20th day of Ja uary
prallminary/primary (Town or Special) (Year-End Roport)'.
Pursaent to MAL„ Chnptor 55;
I, 1 ceriff a thnt t am a candidate for or (told Munlolpgl 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 oxistonco,
3, 1 corilly ihafl do not have a politioal eomml0m.
DATB.
1,SIONATURE
SI nod under the penalties of perjury
IU PESIDBNTIALADDUSS
Street and Number)
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