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2006 Financial Statements - City of Pickering

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deunitnoC3fo1egaP70/302P3059rentraP<br />

-FORM<br />

4FINANCIAL<br />

STATEMENT MUNICIPAL ELECTIONS ACT 1996 SECTION<br />

78<br />

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

incurred bythe candidate do not exceed 10<br />

000 Any surplus greater than 500 after any refund to the candidate hisorher 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<br />

council has passed an enabling by-law/<br />

--/7 For the campaign period from day<br />

/<br />

candidate nominatedJ4 J J /0t toJIJ v<br />

1<br />

L /0<br />

BOX A NAME OF CANDIDATE<br />

AND OFFICE Name<br />

<strong>of</strong> Candidate CCiliL 00 uJ<br />

Je s Mailing Address /S-I jro I<br />

<strong>of</strong> Municipality t oj<br />

4jen c IlcI<br />

lC Of - JJt fv L/<br />

v siJ<br />

Address Home Phone<br />

No<br />

Y/ --7<br />

f-ee 90-btf--7yt Name <strong>of</strong> Office<br />

Ward<br />

name or number if<br />

any/<br />

k - dk fc<br />

I Sr cJ J hJ J<br />

IS cdc1<br />

11 4 y-re e<br />

Name<br />

c-E-mail<br />

- 9900 d-<br />

W fo S<br />

for which the Candidate Sought lcction<br />

J //J-/Business Phone NoFax<br />

No BOXB SUMMARY CAMPAIGN<br />

OF<br />

EXPENSES 1 My Spending Limit was<br />

J<br />

INCOMEAND<br />

S<br />

c<br />

7If5<br />

IJ0/ fyJ J<br />

2 Surplus<br />

or<br />

3 Total Contributions Received Box C and<br />

Box D4 My Total Campaign<br />

Deficit<br />

from<br />

Expenses<br />

that were Subjecttothe Spending<br />

Limit were 5 My Total Campaign Expenses<br />

that were not Subjecttothe<br />

Total<br />

Spending Limit were 6<br />

<strong>of</strong> AllCampaign Expenses line4<br />

line<br />

5-7 Election Campaign Surplus/Deficit from Current<br />

Election 8 Portion <strong>of</strong><br />

Campaign Surplus Returnedto<br />

Previous<br />

Election J 0 /<br />

JLI /<br />

/i/l<br />

I<br />

7 0<br />

1 1-2/<br />

Candidate hisor her Spouse or Same-Sex

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