HomeMy WebLinkAbout2015-12-31-Crocker-OCPFCIONxwl,Itb
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Form CPF M 102 -0: Campaign Finance Report
Municipal Form
one of Campaign and Political Finance
City or Town of: 1-- e?CIY1Cl If r1
Candidate 3G,Dti � , , Cr0CI`�( Office �SChOD
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Please print or type all information, except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning rin I avl s Ending )J.tC 3 1 a or;
Type of Report: (Check One)
0 8th day preceding 0 8th day preceding election 0 30th day following election 20th day of January
preliminary/primary
(Town or Special)
(Year -End Report)'
Pursuant to M.G,L., Chapter 55:
vi; I certify that I am a candidate for o aid unicipal Office.
I certify that 1 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.
ty: I certify that 1 do not have a political committee.
DATE
1. SIGNATURE
Signed under the penalties of perjury
11, RESIDENTIAL ADDRESS
(Street and Number)
III, OFFICE SOUGHT
I/Is,fl to
liA(,un-hA-C 0016-.
5 Cu.rn'er Coin
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