HomeMy WebLinkAbout2013 Dubois - Year End � �
Form CPF M 102-0: Campaign Tinance Report �E�����0
. . Municipal Form �0�� �����
ORce of Campaito a�d Polltieal Rioaoee 'c:M D'�t�. ����•
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City or Town of:�,���/� �
Please print or type all informarion,except signatures.
Fiq in dates: Month Day Year Month Day Year
Reporting Period Beginning � a?3 D/ ,3 Ending /� �/ a O /3
Type of Report: (Check One)
� 8th day preceding � 8th day preceding election � 30th day following election 20th day of lanuary
proliminary/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.
�,.�. 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.
t,3�I certify that 1 do not have a political committee.
DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE
Signed under the penalties of perjury (Street and Number)
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