HomeMy WebLinkAbout2012 Gately Herrick - Year End �
Form CPF M 102-0: Campaign Finance Report
Municipal Form - �'✓f�
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Ciry or Town of: �
Pleaee print or type all information.except signaNres.
Fillin dates: Month
Reporting Period Beginning ��j D�p Y�2 End� Month t Z Day y�
B— � 1 � Z
Type of Report: (Check One)
� Sth day preceding � 8�day preceding election � 30th da followin election 1�"
preliminary/primary (Town ar Spttial)g ✓\Ya�day of January
( End Repott)'
Pursuan[to M.G.L.,Chaprer 55:
1. I certi(y that(am a candidate for or hold Municipal Office.
2. I certify that 1 have not received eny contributions,made any expendiNres,or incurred any obligations during(his
reporting periad,end do not have e campaign Pond in exisrence. -
3: I certify[hat 1 do not have a politicel committea �
DATE i. SIGNATURE II. RESIDENTIAL ADDRESS
Si ed nderNe 1�1. O$F'ICESOUGHT
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