HomeMy WebLinkAbout2012 Collins - 30 Day �
� Farm CPF M 102-0: Campaign Finan � ���K
MunicipalForm �F,�, �.'?(;, M,1SS.
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Pleaze prin[or type all informazion,except signaNres.
Fill in dates: Month Day Year Manch Day Year
Reporting Period Beginning � �4Z ZC �Z Ending � t �e ZC)� Z
Type of Report: (Check One)
� 8tli day preceding � 8th day preceding election � 30N day following election � 20th day of January
preliminary/primary (Toxm or Speciap (Year-End Report)�
Pursuant ro M.G.L.,Chapter 55:
1. I cenify Nat 1 am a candidam for or hold Municipal O�ce.
2. I cenify that I have not rcceived any contributions,made any expenditur<s,w incurred any obligacions during this
rcporting period,and do not have a campaign fund in existrnce.
3. I certify Iha�1 do na�have a political committee.
DATE 1. SIGNATURE 11. RESIDENTIAL ADDRESS Ill. OFFICE SOUGHT
Signed under the penalties of perjury (Srteet and Number)
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