HomeMy WebLinkAbout2010-12-13-Brown-OCPFForm CPF M 102 -0: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Maaaachmellf
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City or Town of: kc Y f y'lC C V r
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Please print or type all information, except signatures. 1
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'ill in dates: Month Day Year Month Day 0 ear 1 .
teporting Period Beginning _jLz, ,l d 2 - 0 Ending t - :� 0 rfI
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cz
'ype of Report: (Check One)
8th day preceding 8th day preceding election El 30th day following election 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. 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.
DATE
1. SIGNATURE
Signed under the penalties of perjury
II. RESIDENTIAL ADDRESS
(Street and Number)
III. OFFICE SOUGHT
W�
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A 0 I e s'
11/7/
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