HomeMy WebLinkAbout2009 Storti - Year End SS.\
� Form CPF M 102-0: Campaign Finance Report
Municipal Form
ORtt of 6mP�itn ma Pol��inl Fimnce
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NMYu��rm
City ar Town af ���� �/� fT
Please print or type all information,except signaNres.
Fill in dates: Month Day Year Monfh Day Year
Reporting Period 8eginning � � � (�� Ending /� ,3/ (J' �
Type of Report: (Check One)
� Sth day preceding � eth day preceding election � 30th day following eleccion �'GOth day oflanuary
prelimi�ary/primary (Town or Special) (Year-End Report)'
Punuant[o M.QL.,Chaprer 55�.
I. 1 certify tha[I am a candidare for or hold Municipal OKce.
2. I certify that 1 have not received any connibucions,made any expendiwres,or inwrted any obligations during this
mponing period,and do not have a campaign fund in enistence.
3. I mrtify that I do wt have a political comminee.
DATB I. SIGNATl1RE II. RESIDENTIALADDRESS III. OFFlCESOUGHT
Signed under[he penalties of perjury (Sheet and Number)
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I1/97
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