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 a by election
Name of Candidate and Office Registrant and Question
Name of Candidate Registrant
Last Name First Na a Mid ial
Mailing Address
Suite Unit No
Street No
e3
StKet Name
7 Gti
Province
City Town Postal Code
Telephone No incl area code Fax No Email Address
cBusiness
Home
l eS 490 Y4000 05 6 Lti 4S QGi
Name of office for which the candidate sought election or the
question for which the registrant incurred expenses
Name of Municipality
Declaration
r
ee4eI
Ward name or no if any
I yty
the
Jy 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
a
Declared before me
at the
C N
of
in the
Pkr
Ru a
of
Gvn
this
6 day of e ce p r r 120 1
Signature of Clerk Signature idate Registrant
X0 1 O l 1210 joioli 4
Date yyyy mm dd
Date yyyy mm dd
10550P 2010
Queen s Printer for Ontario 2010
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