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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 filedifthe 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 tothe candidate his or her spouse or same-sex partner<br />

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

responsible for the conduct <strong>of</strong>the election<br />

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

the campaign period from day candidate nominated51 ft l/ to AIvvB too<br />

A NAME OF CANDIDATEANDOFFICE Name<br />

Jon<br />

let 7JB<br />

BOX<br />

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

6C1v1 i se Mailing<br />

Address Il<br />

S A A-tu Mi Cr e- Pi c<br />

-kIz 0 tV l- V 6 1 E-mail Address<br />

110-al<br />

11 SI Fax No<br />

Home PhoneNo rqA tlrt90Lj<br />

1L jr-4<br />

0 1 c tQ Name <strong>of</strong><br />

for<br />

which the Candidate Sought Election Ward name or number if any c rJ1 gt<br />

w I r A<br />

Lht //<br />

I BOX B<br />

SUMMARY<br />

to2<br />

Surplus<br />

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

Municipality<br />

h Nam<br />

P<br />

Office<br />

OF CAMPAIGN<br />

INCOME AND EXPENSES1MySpending<br />

Limit wasI 5 s 11 jf j44-e 19<br />

or Deficit<br />

from Previous Election3<br />

Total<br />

Contributions ReceivedBoxC<br />

and Box D4 My<br />

-<br />

Business Phone<br />

No<br />

Total Campaign Expenses that were Subjectto<br />

the Spending<br />

Limit were S My<br />

Total Campaign Expenses thatwere not Subject<br />

to the Spending Limit were 6Total<br />

<strong>of</strong> All Campaign Expensesline4<br />

line 5<br />

7 Election<br />

l ll<br />

//1<br />

/ f Continued<br />

Campaign SurpluslDeficit from Current Election8<br />

Portion<br />

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

Campaign Surplus ReturnedtoCandidate hisor<br />

her Spouse or Same-Sex Partner 9503P 2003/07 Pagel<br />

013 IY46 Y ft5 14Y

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