HomeMy WebLinkAbout2017-04-06-Perry-OCPFCn
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Form CPF M 102-0: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
City or Town of: 2 XIN Q)4/
Please print or type al information, except signatures.
Reporting Period: Beginning:
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Ending:
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Type of Report: (Check One) _�
❑ 81h day preceding preliminary/primary El[ 3Sib day preceding election 0th day following election (town or special) ❑ 20tH day oflnnuary (Year -End report)
Pursuant to M.G.L. Chapter 55:
1.1 certify that l am a candidate for or currently 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.
3.1 certify that l do not have a political committee.
SIGNATURE RESIDENTIAL ADDRESS
DATE PRINT NAME Signed under the penalties of perkily and Number) OFFICE SOUGHT
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