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2006 Financial Statements - City of Pickering

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FORM 4<br />

FINANCIAL STATEMENT<br />

MUNICIPAL ELECTIONS ACT 1996 SECTION 78<br />

INSTRUCTIONS<br />

To be filed if the contributions received by a candidate do not exceed<br />

by the candidate do notexceed 10 000<br />

10 000 and expenses<br />

incurred<br />

Any surplus greater than 500 after any<br />

refund to the candidate his or her spouse or same-sex partner shall<br />

be paid immediately over to the clerk who was responsible for<br />

the conduct<strong>of</strong>the election This<br />

form may be<br />

electronicallyfiled if your council has passed an enabling by-law For the<br />

campaign period from day candidate nominated4JjIG<br />

ot<br />

to wid/v - /tJ b BOXA NAMEOFCANDIDATEANDOFFICE<br />

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

San2JOr<br />

Candidate Thu Mailing<br />

Address<br />

01 G 10 l 4<br />

Cl to - I<br />

C LeI C<br />

Business<br />

Phone No Fax<br />

o Tf-us<br />

kL BOX B<br />

SUMMARY OF CAMPAIGN INCOMEAND EXPENSES 1My<br />

Spending Limit was 40bl 80 yt2<br />

or Deficit<br />

from Previous Election3<br />

Total<br />

Surplus<br />

Contributions Received BoxC<br />

and Box Dp 4<br />

My<br />

Total Campaign Expenses that were Subject to<br />

the Spending Limit were Y -Yl f 5 My<br />

not Subject<br />

Total Campaign Expenses that were<br />

7s1<br />

to the Spending Limit were 8 Portion<br />

All Campaign Expenses line 4line<br />

5 - 7 Election<br />

Campaign Surplus/Deficit from Current Election 9503P 2003107<br />

Page<br />

<strong>of</strong> Campaign Surplus Returnedto Candidate hisor<br />

her Spouse or Same-Sex PartnerP 7s----t<br />

fi J<br />

6 Total<br />

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

1 013 Continued

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