Auditor's Report - City of Pickering

Ontario Ministry of Municipal Affairs
and Housing
Notice of Extension of Campaign
Period Form 6
Municipal Elections Act 1996 Sections 68 82 1
Instructions
To be completed and filed with the clerk by candidates or registrants requesting an extension of the campaign period
due to a deficit
This notice must be filed on or before December 31 in the year of a regular election and 45 days after voting day in the
case of aby election
Name of Candidate and Office Registrant and Question
Name of Registrant Candidate
Last Name 71 First Name Middle Initial
Mailing Address
Suite Unit No Street No Street Name
City Town
3 12v c2 too
Province
GLkV5mo0 W
Telephone No incl area code Fax No Email Address
Business
Postal Code
L f I t9co
5 G
Home
r CinQSY
6 Sbl I as 6 1 r aa1S I h
Name of office for which the candidate sought election or the Ward
question for which the registrant incurred expenses 2
L t d via nc t v
J
Name of
niM
Declaration
name or no if any
30 1A VVr the candidate registrant mentioned above hereby give notice
and declare to the clerk that I have a deficit and wish the campaign period to be extended in accordance with section 68
Declared before me
at the
C
ofr t
in the
ot d
02J4z
this day of 20 J0
Signature of Clerk ignatu of Candidate Registrant
LIP
Ito 12 ly
Date yyyy mm dd
Date yyyy mm dd
10550P 2010
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