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Clanton Campaign Treasurer Appointment 01/14/2020 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/MRsI R FIRST MI OFFICE USE ONLY NAME � >0/&��-- Filer ID# . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . }\ Date eeeyNq¢.CEIL■ED NICKNAME LAST�/� � OW SUFFIX T[C Y 3 CANDIDATE ADDRESS I PO BOX; APT I SUITE#; ([� ICILY; STATE; ZIP CODE I AN 14 2020 MAILING /Ql / "l/N tL -4�©1d T/ 7��C' ADDRESS `7 w'.� �� City Manager's!City Secretary's Office Date Han -delivered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE (�VG } Date Processed 5 OFFICE Date imaged HELD (if any) 6 OFFICE SOUGHT (if known) 7 CAMPAIGN i S IMR FIRST MI NICKNAME LAST SUFFIX TREASURER //'1 - tss � '4--: NAME C� vl 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#, CITY; STATE; ZIP CODE TREASURER (,/ ADDRESS ! O( pLj�1a) d�(� KG ,Q� 11� (` �tO/ STREET Z�� (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER �j 7 PHONE Z C to 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. am aware of the restrictions in title 15 of the Election Code on contributions fro orporations a I or or ns. Signature of Candidate Date S' ned GO TO PAGE 2