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2006 Financial Statements - City of Pickering

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-FORM<br />

4 FINANCIAL<br />

STATEMENT MUNICIPAL ELECTIONS ACT 1996 SECTION<br />

78<br />

INSTRUCTIONS To be filed ifthe contributions received byacandidate donot exceed 10 000 and expenses<br />

incurred bythe candidate donot exceed 10<br />

000 Any surplus greater than 500 after any refund to the candidate his or her spouseor same-sex partner<br />

shall be paid immediately over to the clerk who was responsible for the conduct <strong>of</strong> the election<br />

This form may be electronically filed if your council has passed an enabling by-law<br />

For<br />

the campaign period from day candidate nominated3i iA0 to 02l 4 l BOX<br />

A NAME OF CANDIDATEAND OFFICE Name<br />

<strong>of</strong> CandidateKf<br />

-VIjinO Dc5 Mailing<br />

Address 23<br />

fbd w i 0 D cJ2E c cJ-<br />

1c<br />

i<br />

II J CJIJ<br />

L-fy<br />

Fax<br />

16 11<br />

Business Phone No<br />

6 /0 iO -2E-mail<br />

No 21<br />

Address leVIr<br />

lModeste Q cee<br />

/-s Lo<br />

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

No012<br />

j S1 J1t 0<br />

Office for which the Candidate Sought Election Ward name or number if any Home Phone<br />

At- cUr-l GiL- -O C- Name <strong>of</strong><br />

Municipality cj<br />

-1 PI C1 f -eIlI j iNM<br />

lBOXB<br />

SUMMARY OF CAMPAIGN INCOMEAND EXPENSES1My<br />

Spending Limit was 220 2 2 Surplus<br />

or Deficit<br />

from Previous Electionr6<br />

3<br />

Contributions ReceivedBoxC<br />

and Box Dbr<br />

Total<br />

1 4 My<br />

Total Campaign Expenses that were Subject to<br />

the Spending Limit OLI t<br />

were fD 1C-1 5 My<br />

Total Campaign Expenses that were not Subject<br />

to the Spending Limit were 96 Total<br />

1 OJ<br />

<strong>of</strong> All Campaign Expenses line4<br />

0 -/ c<br />

line 5 Q-<br />

7 Election Campaign Surplus/Deficit from Current Election<br />

r - 9503P<br />

8<br />

Portion <strong>of</strong> Campaign Surplus Returned to CandidateJ fhis<br />

or her Spouse or Same-Sex Partnerln<br />

2003/07 Page 1 013 Continued

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