Auditor's Report - City of Pickering

Ministry of Municipal
Ontario Affairs
and Housing
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 aby election
Name of Candidate and Office Registrant and Question
Name of Registrant Candidate
Last Name First Name Mid
0 ch 10Cf r in fcr
Mailing Address
Suite Unit No Street No Street Name
City Town
59 Sle
Province
Initial
Postal Code
P n T L I 1 tv Vi
Telephone No incl area co e Fax No Email Address
Business Home C Qo CcYI
P05
400QQ8 ZD
Name of office for which the candidate sought election or the Ward
question for which the registrant incurred expenses
name or no if any
Name
Municipality
Declaration
the candidate registrant mentioned above hereby give notice
a d clare to the clerk that I have a deficit and wish the campaign period to be extended in accordance with section 68
Declared before me
attheC
of
in the
CKc r v
Y
of
Lu yyz
this day of portrn rt 201
Signature of Clerk
Signature
ctof fo
of Candidate Registrant
ao
Date yyyy mm dd Dat yyyy mdd
10550P 2010
Queen s Printer for Ontario 2010
Disponible en frangais