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Form CPF M 102-0: Campaign Tinance Report
. . Municipal Form rtE C E I V E D
ORee ot Campaito a■d Poliueal Finanee [0 W N C L E R K
� . ��ADING. MaSS.
101U J
Ciry or Town of��i�/� �
Please print or type all information,except signatures.
Filt in dates: Month Day Year Month Day Year
Reporting Period Beginning � o?3 02 0/ 3 Ending /� �f o2 O /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) ear-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 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 1 do not have a political committee.
DATE L SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE 96tfGFIT'
Signed under the penalties of perjury (Street and Number) �L,j�
I�r` �/� �n�n�✓ ' /�OA�c n o�/QS"s-�fS'02-.5'
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