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Auditor's Report - City of Pickering

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v<br />

Ministry <strong>of</strong> municipal affairs Financial Statement Auditor s <strong>Report</strong><br />

Ontario and Housing<br />

Form 4<br />

Municipal Elections Act 1996 Section 78<br />

Instructions<br />

All candidates must complete Boxes A B C D E and F and Schedule 1 All candidates must complete Schedules 2 3 and 4 as<br />

appropriate Candidates who receive contributions or incur expenses in excess <strong>of</strong>10 000 must also attach an Auditor s <strong>Report</strong><br />

All surplus funds after any refund to the candidate or his or her spouse shall be paid immediately over to the clerk who was responsible<br />

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

YYYY MM DD YYYY MM DD<br />

For the campaign period from day candidate filed nomination I ap l0 C c 1 Q to ld lb y<br />

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

Supplementary filing including finances after December 31 or 45th day after voting day in a by election<br />

Box A Name <strong>of</strong> Candidate and Office<br />

Name <strong>of</strong> Candidate<br />

Last Name First Name Middle In<br />

CIAWAIN<br />

Pt<br />

Mailing Address<br />

Suite Unit No Street No Street Nam<br />

g AlaIK Z<br />

Province<br />

Postal Code<br />

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

Pi 0 r c 91 M 6 c Imo i v i S<br />

Telephone No incl area code Fax No Email Address<br />

Business<br />

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

Home<br />

<strong>of</strong>fice for which the sought election<br />

candidat e Ward<br />

Name <strong>of</strong> Municipalit<br />

r R<br />

Name or No if any<br />

rLc G<br />

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

1 My spending limit as issued by clerk r was J r<br />

2 Surplus or deficit from previous election<br />

I s<br />

3 Total contributions received from Schedule 1<br />

Is 00<br />

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

is Z j 3<br />

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

Is<br />

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

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

Is<br />

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

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

9503P 2010<br />

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

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