HomeMy WebLinkAbout2013 Jackson - Year End��
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Form CPF M 102-0: Campaign Tinance Report
Municipal Form i�E C E I V E D
� 011iee of Camqt�o a�d Polltial Fisaoce (�Q�� C L E R�
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Please print or type all information,except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning � o?�3 020/ ;� Ending /o� �,r o2 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) eaz-End Report)'
Pursuant to M.G.L.,Chapter 55:
l. I certify that I am a candidate for or hold Municipal Office.
2. I certify that 1 have not received any contributions,made any expenditwes,or incurred any obtigations 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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� 11/97
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