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Auditor's Report - City of Pickering

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Ontario Ministry <strong>of</strong> inancial<br />

Municipal<br />

Affair4anle<br />

and Housing<br />

Statement Auditor s <strong>Report</strong><br />

orm 4<br />

unicipal Elections Act 9996 Section 78<br />

WO C 10 n<br />

Instructions 1Gw nC0r Fi 1 nq a a 5<br />

All candidates must complete Boxes A B C D E and F A I candidates must co glplete Scheddles 3 and 4 as Q<br />

appropriate Candidates who receive contributions orinexcess <strong>of</strong>10 000 must also attach an Auditor s <strong>Report</strong> Ifl 1Y10 t<br />

All surplus funds after any refund to the candidate orhishall be paid immediately over to the clerk who was responsible<br />

for the conduct <strong>of</strong> the election<br />

YYYY MM D YYYY MM DD<br />

For the campaign period from day candidate filed nomination Zal 6<br />

to oc0l 0<br />

Primary filing reflecting finances to December 31 or 45h day after voting day in a by election<br />

Supplementaryfiling including finances after December 31 or 45h day after voting day in a by election<br />

Box A Name <strong>of</strong>Gandi a4eand 0ffice<br />

Name <strong>of</strong> Candida<br />

Last Name Kln First Name Middle Initial<br />

Mailing Address<br />

Suite Unit No Street N Street ame<br />

Prov<br />

<strong>City</strong> Town<br />

5<br />

tJ<br />

t CsC<br />

Telephone No incl area code<br />

Business<br />

Home<br />

Pstal<br />

od<br />

Fax No Email Address<br />

1<br />

Name <strong>of</strong> <strong>of</strong>fice for w chi the andidate so ht electio Ward Name or No if any<br />

C<br />

YJ<br />

Name <strong>of</strong> Municipality<br />

iuc JZ<br />

Box B Summary <strong>of</strong> Campaign Income and Expenses<br />

1 My spending limit as issued by clerk was l D I<br />

2 Surplus or deficit from previous election<br />

3 Total contributions received from Schedule 1<br />

4 My total campaign expenses that were subject to the spending limit were from Box C<br />

All<br />

My total campaign expenses that were not subject to the spending limit were from Box C<br />

6 Total <strong>of</strong> all campaign expenses from Box C 3 6I 1<br />

7 Election campaign surplus deficit from current election from Box E<br />

8 Contributions refunded to candidate or spouse from Box E<br />

9 Amount paid to clerk from Box E<br />

9503P 2010<br />

Q Queen s Printer for Ontario 2010 Disponible en frangais Page 1 <strong>of</strong> 8

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