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 Middle
171
Mailing Address
Suite Unit No Street No Street Nam
Clty TowPI
I N Z 106e
Province
Telephone No incl area code Fax No Email Address
Business
r
Home
Postal Code
Name of office for which the candidate sought election or the Ward
question which the registrant incurred expenses
name or no if any
Name of Municipality
Declaration
I
LcC is
the 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
Declared before me
at the
C
of
P G V G
in the
R or of
this day of p c G vr o r
20 to
Signature of Clerk
Signature
of Candidate Registrant
oa 20o Zo 2
Date yyyy mm dd
Date yyyy mm dd
10550P 2010
Queen s Printer for Ontario 2010
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