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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

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