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2016-12-31-Brown-OCPF
Comm .wealth of Massachusetts Form CPF M 102 -0: Campaign Finance Report Municipal Form Office of Campaign and Political Finance City or Town of: / e *IA Please print or type all inforvnation, except signatures. Reporting Period: Beginni 2.0 CO (MM /DD /YYYY) Ending: Lek '3 1(( /DD /YYY 4 � Type of Report: (Check One) 8th day preceding preliminary /primary C 8th day preceding election © 30th day following election (town or special) Otlr day of January (Year -End report) Pursuant to M.G.L. Chapter 55: 1. I certify that I am a candidate for or currently hold Municipal Office. 2. I 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. SIGNATURE RESIDENTIAL ADDRESS DATE PRINT NAME Signed un der the penalties of perjury (Street and Number) OFFICE SOUGHT II/'3b1241 Gt'c,. -1 rew,n (PILL CI) P-2- -- -, l--/7 icobiaso-- ,/C€cl(. i MocIeraivr I