HomeMy WebLinkAbout2013 West - Year End � �
Form CPF M 102-0: Campaign Finance Report
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Otfite of GmpaiPn a�d Politinl Fioaoce ��n�N �+�.G R�
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Please print or type ail informarion,except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning � o?3 �D/ 3 Ending /� 3/ a p /3
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) eaz-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 1 have not received any contributions,made any expenditures,or incurred any obiigations 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 II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penalties of perjury (Street and Number)
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