Auditor's Report - City of Pickering

te
r Ontario and Housing
Ministry of Municipal Affairs
Notice of Extension of Campaign
Period Form 6
Municipal Elections Act 1996 Sections 68 821
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
First Name
R0 7
Mailing Address
Suite Unit No Street No Street Name
7 15 c
Middle Initial
City Town Province Postal Code
Locys7iL ON Lo j o
Telephone No incl area code Fax No Email Address
Business
Home
705 1 Zo qC6 o 0 5 Z01 o47
Name of office for which the candidate sought election or the Ward
question for which the registrant incurred expenses
REG 0 At L CG YAl CI LL ag
Name of Municipality
plc Iv
Declaration
I
PE7 6R Ro Z Q t GU E S
name or no if any
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
of
in the
t
N
Lk r
of
this day of 20 L
Signature of Clerk
Signature
aoio IX0 7
Date yyyy mm dd
of Candidate Registrant
ablo lf07
Date yyyy mm dd
10550P 2010
Queen s Printer for Ontario 2010
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