HomeMy WebLinkAbout2014 Halsey - 8 Day � .
Form CPF M 102-0: Campaign Finance Report
. _ Municipal Form
Otree of Campai�n�nd Political Fioaaee
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Ciry or Town of: ����/��
Please print or type all information,except signatures.
Fill in dates: Month Day Year Month Day Yeaz
Reporting Period Beginning_ / / �O / `/� Ending a � y- ���t.f.
Type of Report: (Check One)
� 8th day preceding th day preceding election � 30th day following election � 20th day of lanuary
preliminary/primary (Town or Special) (Yeaz-End Report)'
Punuant to M.G.L.,Chapter 55:
� 1. I certify that I am a candidate for or hold Municipal Office.
✓ 2. I certify that l 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 penalties of perjury (Street and Number)
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