HomeMy WebLinkAbout2012 Collins - Year End � ,:rIV�0
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Form CPF M 102-0: Campaign Finance Report��� � �' ��� ��S�
MunicipalForm lUl3 JAiJ 23 A 9� 48
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Please print or type all infa�metion.except signaNres.
Fill in darcs: Month Day Year MonN Day Year
ReportingPeriodBeginning 2 2�7 2�IZ Endivg fZ 31 ZO�Z
Type of Report: (Check One)
� BtA day preeeding � Sth day p`eceding electiov � 30th day following eltttion � 20th day of lanuary
prcliminary/primary (Tmvn or Spmial) (Yev-End Report)'
Punuent w M.G.L.,Chapttr 55:
1. 1 certi(y that I am a candidam far or hald Municipal O�te.
2. I certify[hat I have m[rcceived any wntributions,made any expendinves,or incurred any obligations during this
rcporting period,and da not have a campaign Nnd in aeis¢nce. �
3. I artify[hat I do no[have a poli[ical commiRee.
DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS 11L OFFICE SOUGHT
i�ed under the penalties of ju (Svett and Number)
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