George Ferrie CTA_Redacted APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 1 Total pages filed:
2 CANDIDATE MS/MRSIMR FIRST MI OFFICE USE ONLY
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NICKNAME .LAST' . . . . . . . . . SUFFIX
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3 CANDIDATE ADDRESS 1 PO BOX, APT 1 SUITE#; CITY, STATE, ZIP CODE DEC 0 12025
MAILING
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4 CANDIDATE AREA CODE IVr l PHONE NUMBERI^f d` EXTENSION Receipt# Amount$
PHONE
Date Processed
6 OFFICE Date I maged
HELD
(if any)
6 OFFICE
SOUGHT
(if known) ���/// ✓Y�l " �l// V r l
7 CAMPAIGN MSFMRSJMR FIRST MI NICKNAME LAST SUFFIX
TREASURER M I ' a�0
NAME
S CAMPAIGN STREET ADDRESS, APT I SUITE#: CITY; STATE; ZIP CODE
TREASURER
STREET
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(residence or business) Dtrrfb
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9 CAMPAIGN AREA CODE PHONE NUMBER r ` EXTENSIONi
TREASURER
PHONE
10 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from Corporations and labor organizations.
S ahire of Candidate Date Signed
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