HomeMy WebLinkAbout2012 West - Year End �
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Form CPF M 102-0: Campaign Finance Report T r, !� CL't.i2K
MunicipalForm � ' "','.SS.
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omn af Gmp�IP��d Paliliatl Finutt
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1013 JAN I S P 4� 36
City or Town oC
Pleaz<princ or ry7x all infacma[ion,exttpt signaNres.
Fill in dams: M"ant�h � �Day Year Month Day Year
Reporting Period Beginning��� (e 2012 Ending '[]�� 2'OI �—
, 1 � � �. �
TypeofReport: (CheckOne) �(/
� Sth day preceding � 8th day preceding election � 30th day following election "' 20th day of January
preliminary/primary (Tawn or Special) (Year-End Report)
Pursuenl m M.G.L.,Chapror 55�. .
I. I cenify that 1 am a candidate for or hold Municipal O�ce.
2. I cenify that 1 have not received any connibutions,made any expendimres,or incurred any obiigations during this
reporting period,and do no[have a campaign Pond in existtnce.
3. 1 certify that I do not have a political committee.
DATE I. SIGNATURE II. RESIDENTIAL ADDRE55 III. OPFICE SOUGHT
Signed under the penalties of perjury (Sneet and Number)
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I1/97
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