Auditor's Report - City of Pickering

te
Ontario and Housing
Ministry of Municipal Affairs Notice of Extension of Cam pai 9 n
Period Form 6
Municipal Elections Act 1996 Sections 68 821
Instructions
1 1 rat S 2 K o
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 Candidate Registrant
Last Name First Name Middle Initial
rot at
Mailing Address
Suite Unit No Street No Street Name
S
City Town Province Postal Code
F1 ckp rj
V t l
Telephone No incl a a code Fax No Email Address
Business
l Home 3S 5kev Goac Gvv
r
Name of office for which the candidate sought election or the Ward
question for which the registrant incurred expenses
lVllV
Name of Municipality
S of
Declaration
I
Set r n
C1
name or no if any
VGtY
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
1 l C K C C vt c
in the
of
this tom day of 20 1 U
C
ILI
Signature of Clerk Sign re of Candidate Registrant
QCIC
Date yyyy mm dd
ofo 1a o
Date yyyy mm dd
10550P 2010
Queen s Printer for Ontario 2010
Disponible en franpis