HomeMy WebLinkAbout2014 Brzeznski - 8 Day � .
Form CPF M 102-0: Cam ai n Finance t�EGEIVEO
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. _ Municipal Form ���,�DINC�. M�S�.
Ot6ce otCampai�a�nd Politieal Finaaee
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Please print or type all information,except signatures.
FiU in dates: Month Day Year Month Day Yeaz
Reporting Period Beginning_ 1 / � / 020 / '7� Ending a � �-f-_��C.�
Type of Report: (Check One)
� 8th day preceding th 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:
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 I. SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penal 'es of perjury (Street and Number)
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11/97
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