Auditor's Report - City of Pickering

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Ministry of Municipal
Ontario 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 Candidate Registrant
Last Name First Name Middle Initial
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Mailing Address
Suite Unit No Street No Street Name
t Jfi
lg 8 t vcoue7 b VF
CityfTown Province Postal Code
Telephone No incl area code Fax No Email Address
Business
Home
Name of office for which the candidate sought election or the Ward name or no if any
question for which the registrant incurred expenses
ICA 740ov 4 A00 CQ
Name of Municipality
Declaration
and declare to the clerk that I have a deficit and wish the campaign period to be extended
the candidate registrant mentioned above hereby give notice
in accordance with section 68
Declared before me
at the
C
of
P i Gh2 r1 n o
in the
Ml2D t n
of
Dw K cam
Cjafnbe T 20
this s day of ULP
LO
Signature of Clerk Signatu of Candidate Registrant
Date
10 O a of 0 f2 S6
yyy mm dd Date yyy m dd
10550P 2010101
Queen s Printer for Ontario 2010
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