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2006 Financial Statements - City of Pickering

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deunitnoC3foegaP<br />

FORM 4<br />

-INANCIAL<br />

STATEMENT MUNICIPAL ELECTIONS<br />

ACT 1996 SECTION<br />

78<br />

INSTRUCTIONS To be filedifthecontributions received byacandidate donot exceed 10 000 and expenses<br />

incurred by the candidate do not exceed 10<br />

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

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 nominated JOt to I I j/Se<br />

pa J6<br />

A NAME OF<br />

Ye lOT<br />

CANDIDATEANDOFFICE Name<br />

BOX<br />

Ian<br />

<strong>of</strong>CandidateC-f<br />

rrLfQJMailing Address<br />

rJfl- Cr-l -r C-QL ON L<br />

lf<br />

- C E-mail Addr ss<br />

Fax No<br />

Home Phone No C lWY-f<br />

R- -r r<br />

- c<br />

- C S- Lf -f t 7<br />

Name <strong>of</strong> Office for which the Candidate Sought Election<br />

Ward name or number if any<br />

f -6 tr<br />

S RPr - Itc J-fer<br />

Name<br />

f Municipality<br />

c<br />

k<br />

cl ArLt-<br />

BOX B SUMMARY OF CAMPAIGN INCOME AND EXPENSES<br />

1 My Spending Limit was -li-o2<br />

Surplus or Deficit from Previous Election<br />

s<br />

3<br />

Total Contributions Received Box<br />

C and BoxD/15<br />

--- -x--<br />

- 4 My Total Campaign Expenses that<br />

were Subject to the<br />

Spending Limit were<br />

3 0<br />

r0 5My Total Campaign Expenses that<br />

were not Subject to the Spending Limit were/ / 3s<br />

c<br />

LT6 Total<strong>of</strong><br />

All Campaign Expenses line<br />

4 line5 Blection Campaign Surplus/Deficit<br />

from<br />

Current<br />

Ilection -- -8Portion <strong>of</strong> Campaign<br />

Surplus Returned to Candidate hisor her Spouse<br />

or Same-Sex Partner<br />

------- 9503P 2003/07

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