2006 Financial Statements - City of Pickering
2006 Financial Statements - City of Pickering
2006 Financial Statements - City of Pickering
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FORM 4 Continued<br />
BOX C CONTRIBUTIONS MORE THAN 100 see attached list<br />
tOtal<br />
<strong>of</strong>oil ouib l Iliog laO th lIOO/oo lb ta J<br />
Q<br />
I 1St I sr<br />
-<br />
BOX D CONTRIBUTIONS LESS THAN OR EQUAL<br />
TO 100<br />
otal<br />
0 11<br />
ulbotloIIlog 1100 ta I<br />
th 1 OO/ otributta<br />
ci<br />
l<br />
BOX E DECLARATION<br />
I the undersigned a candidate in the municipality <strong>of</strong> C I 1 0t Pi-<br />
Iet tV G<br />
i I<br />
- for the <strong>of</strong>fice <strong>of</strong> b lI-i A c 7 H 0 L I<br />
hereby declare that during the above<br />
campaign period I S I t 7 CN iH i 150 VL j<br />
n 4C l lr<br />
a the contributions received by me did not exceed 10 000 and expenses incurred by<br />
me did not<br />
exceed 10 000 and<br />
b<br />
my surplus deficit under section 79 <strong>of</strong> the Municipal Elections Act 1996 was<br />
c the amount <strong>of</strong> surplus refunded to myself my spouse or same-sex partnl r<br />
under subsection796 <strong>of</strong><br />
the Municipal Elections Act 1996 was Declared<br />
before me at<br />
the C <strong>of</strong><br />
c kC r-l<br />
P s<br />
in the R Of C rb Y<br />
this day <strong>of</strong><br />
20 Q7<br />
fuorc<br />
b<br />
signature <strong>of</strong> the clerk orcommissioner etc signature<br />
J<br />
<strong>of</strong>candidate<br />
M9-r h 23/0 date<br />
filed inthe clerks <strong>of</strong>fice -<br />
DEBBIE M SHIELDS DEPUTY CLERK<br />
CITY OF PICKERING<br />
EX OFFICIO COMMISSIONER<br />
PURSUANT TO SECTION 1 2<br />
OFTHE COMMISSIONERS FOR<br />
TAKING AFFIOAVITS ACt<br />
--9503P 2003/07 Page<br />
2 <strong>of</strong> 3 Continued
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