HomeMy WebLinkAbout2010 Dubois - Year End �
� Form CPF M 102-0: Campaigo T�inance Report � � ��
Municipal Form , t; [�?K
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Ciry or Town of: �E A g/A C'r �
Pleaze print or rype all informatioq except signaNres.
Fill in da�es: Month Day Year Monih Day Year
Reporting Period Beginning �/ 27 02 0/o Ending �l 3 / a o/ o
TypeofReport (CheckOne)
� 81h day preceding � 8th day preceding el¢[ion � �30th day following election �20th day of January
preliminary/primary (Town or Special) (Year-End Report)
Pursuant ro M.G.L.,Chapmr 55:
1. I certify that I am a candidak(or or hold Municipal O�ce.
2. 1 cenify that 1 have mt received any connibutians,mede any expendiNrcs,or inwrted any obligations during this
reporting period,and do mt have a campaign fund in existrnce.
3. I certify that I do not have a politiwl committee.
DATE 1. SIGNATURE 11. RESIDENTIAL ADDRBSS III. OFFICE SOUGHT
Signed under Ne penalties of perjury (Sneet and Number)
i 8 ro R �7'IN�L krLn.t_ 7
I1/97
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