HomeMy WebLinkAbout2012 Croft - Year End �
Form CPF M 102-0: Campaign &inance Report {.'. �:��VED
�. Municipal Form � I?K
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Pleue print or type all information,except signaNms.
Fill in dates: Month D�a ,� Year Month Day Year
ReportingPeriodBeginning � �1��$b i3Olr� Ending / Z �/ ,7D� ^ —
Type af Report: (Check On<) /�
� Bth day prcceding � Bth day preceding election � 30th day following elec[ion 2`i� Oth day of January
preliminary/primary (Town or Special) (Year-End Report)'
Porsuant to M.G.L.,Chaptv 55:
1. I certify that 1 am a candidate for or hold Municipal O�ce.
2. I certify ihat I have not received any conhibutions,made any expendiNres,or incurred any obligations during this
repotting period,and do not have a campaign Pond in ezistencc. �
3: 1 ttrtify that I do not have a politicfll committee.
DATE I. SIGNATURE IL RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signedunder epenaltiesofperjury (StreetandNumber)
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