HomeMy WebLinkAbout2011 Gibbs - 30 Day �
� FormCPFM102-0: CampaignFinanceReport���EIVED
Municipal Form TOWN CLERK
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City or Town of.�
Pleaze print or type all information,except signatures.
Fill in dates: Mon[h Day Year Month Day Ywr
ReponingP<riodBeginning �7 I % �1� Ending � Z`� "Z-OII
Type of Report: (Check One)
� Sth day preceding � 8th day preceding election �—AOth day following election � 20th day of January
preliminary/primary (Town or Special) (Year-End Reportj
Pursuent to M.G.L.,Chapter 55:
1. I cenify that 1 am a candidate for or hold Municipal Office.
2. 1 certify lha[I have not rec<ived any contributions,made any expendiNres,or incurred any obligations during Ihis
reporting period,and do not have a campaign fund in exiscence.
3. I certify tha[I do no[have a political committee.
DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS Ill. OFFICE SOUGHT
Sign und th penalties o p r' (Sttcet and Number)
2�� ' — I I I7117'I{-f�(
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11/97
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