HomeMy WebLinkAbout2013 Stempeck - 8 Day s�
� Farm CPF M 102-0: Campaign Fioance R�q,rt��VE�
MunicipalForm iOWN CLERK
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Please print or type all infom�ation,except signaNrcs.
Fill in dates: Month Day Year Monlh Day Year
Reporting Period Beginning / / / 3 Ending 3 / 5 /3
Type of Report: (Ch<ck One)
� 8tA day preceding � 8th day preceding election � 30th day follawing election � 20th day of lanuary
preliminary/primary (Town or Speciap (Year-End Repon)�
Pursuan[to M.G.L.,Chapmr 55:
1. I certify tha[I am a candidate for or hold Municipal Office.
2. I certify�hat I have no[received any contributions,made any expendi[ures,ar inwrted any obligations during this
reporting period,and do nat have a campaign Cund in existence.
3. f certify Nat I do mt have a political committ<e.
DATE . SIGNA URE IL RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Sig d u der e p alties of perjury (Sneet and Number)
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