HomeMy WebLinkAbout2011-12-31-Canale-OCPFForm CPF M 102 -0: Campaign Finance Report
Municipal Form
orrice or campaign and Political Finance
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of Meaecburettr
City or .Town of. c X / 1�a _ /J
Please print or type all information, except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning I t - Z. 0 Ending 1 2— C
Type of Report: (Check One)
8th day preceding 8th day preceding election C 30th day following election 20th day of January
preliminary/primary (Town or Special) (Year -End Report)'
Pursuant to M.G.L., Chapter 55:
1. 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
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11/97
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