HomeMy WebLinkAbout2015 Docktor - 8 Day �
Form CPF M 102-0: Campaign Finance Re�bEt 1 VEp
_ Mun�c�pal Form WN CLERK
� ORce of Gmpaiga and Politieal Fioanee F- r1 u���, �r'��S.
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City or Town of: �� �N �
Please print or rype all information,except signatures.
Fill in dates: Month Day Year Mon� DaQ Ye�5
Reporting Period Beginning � � ` l 2 O t 5 Ending_
Type of Report: (Check One)
� 8th day preceding � 8th day preceding election � 30th day following election � 20th day of January
preliminary/primary (Town or Special) (Yeaz-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 l ha ot received an contributions,made any expenditures,or incurred any obligations during this
reporting period,and do not have a camaai�n nd in existence.
3. I cert� at I do not have�,_,nolitical committee. r�
(i�-Y1 Cc �C�F--�'(�
DATE l. SIGNATURE lI. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Si ed under the penalties of perjury (Street and Number)
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I 1/97
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