2006 Financial Statements - City of Pickering
2006 Financial Statements - City of Pickering
2006 Financial Statements - City of Pickering
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I<br />
FORM 4 Continued<br />
BOX C CONTRIBUTIONS MORE THAN 100 see attached list<br />
Total <strong>of</strong> all contributions totalling more than lOO/contributorc O BOX<br />
D CONTRIBUTIONS LESSTHAN OR EQUAL TO 100 Total<br />
<strong>of</strong> all contributions totalling 100 or less than lOO/contributortG 7 0<br />
- BOX<br />
E DECLARATIONI<br />
the undersigneda candidateinthe municipality o for<br />
the <strong>of</strong>fice <strong>of</strong> t-I De campaign period<br />
Pl<br />
c q-e<br />
that P-lClhereby declare<br />
during<br />
the abovea the contributions<br />
received<br />
by medid not exceed 10 000 and expenses incurred by me did not exceed 10 000 and<br />
b my surplus deficit<br />
under section 79 <strong>of</strong> the Municipal Elections Act 1996 wasc the amount <strong>of</strong><br />
surplus refundedto myselfmy ouse or s <strong>of</strong> the Municipal Elections<br />
Act 1996 was c Declared before me<br />
I<strong>of</strong> i<br />
ta-i<br />
r<br />
<strong>of</strong><br />
J in 1<br />
the<br />
Re c 7<br />
<strong>of</strong>tx<br />
bQ<br />
this 6 day<br />
DEPUTY<br />
20<br />
CLERK<br />
CITY<br />
commissioner<br />
0l<br />
etctignature<strong>of</strong>l andidate<br />
1 date filed in the<br />
clerk<br />
s <strong>of</strong>fice at the cT l1<br />
o t eC<br />
D DEBBIE M SHIELDS<br />
signature<br />
<strong>of</strong>the<br />
clerk<br />
or<br />
J<br />
l<br />
roO-r<br />
b 1blo<br />
OF PICKERING EX OFFICIO COMMISSIONER<br />
PURSUANT TO SECTION<br />
12OF<br />
THE COMMISSIONERS FOR TAKING AFFIDAVITS<br />
ACT-i--<br />
9503P 2003/07 Page<br />
2<br />
<strong>of</strong>3 Continued