HomeMy WebLinkAbout2013 Curtis - 8 Day �
Form CPF M 102-0: Campaign Finance Report I J� ')
Municipal Form � ; ' f i?K
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Pleaze prin[or type all informa[ion,except signaNres.
FiII in daces: Mon1h Day Year Month Day Year
Reporting Period Beginning / / / 3 Ending 3 / `�' J3
Type of Report: (Ch<ck One)
� 8fi day preceding � 8th day preceding election � 30th day following eleMion � 20th day of January
preliminary/primary (Tawn or Special) (Year-End Report)'
Pursuant to M.G.L.,Chapter 55:
I. 1 certify tha[I am a candidam for or hold Municipal Office.
2. I certify that I havt no[received any connibutions,made any expendiNres,or inwrted any obligallons during this
reporting period,and do not have a campaign Nnd in<zisrence.
3. I mrtify[M1at I do no[have a yolitical committee.
DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS II7. OFFICE SOUGHT
Si ed derthe enaltiesofperjury (StreetandNumber)
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