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2006 Financial Statements - City of Pickering

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deunitnoC310<br />

-FORM<br />

4 FINANCIAL<br />

STATEMENT MUNICIPAL ELECTIONS<br />

ACT 1996 SECTION<br />

78<br />

INSTRUCTIONS To be filed ifthecontributions received<br />

by a candidate 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 orher spouseor 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 filed if your council has passed an enabling by-law<br />

For<br />

the campaign period from day candidate nominated Sfii 1/7ki to J f 7<br />

I<br />

ah<br />

BOX A NAME OF CANDIDATE AND OFFICE<br />

Name <strong>of</strong> Candidate<br />

whlb j<br />

fJiI W/irrE - cot CUJ /t tl-l <strong>of</strong> Mailing<br />

Address 5D CL IP ptlaE u<br />

/ Dttb<br />

- PI cK Ei21 Ie<br />

Io rr /1-1 0L/tJ 2 /JS<br />

Business Phone No Fax No E-mail Address Home Phone No P/tiLW<br />

fIi -TC JilUf g90 5 3C 4 2 Name <strong>of</strong><br />

Office for which the Candidate Sought Election Ward name or number if any O AL<br />

Municipality C J<br />

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

lA-NC LL --1<br />

IT Or t Ie -ffd l/JJ<br />

C<br />

BOX B<br />

SUMMARY OF CAMPAIGN INCOME AND EXPENSES<br />

I My Spending Limit was OJ lCo5 40<br />

2 Surplus or Deficit from Previous<br />

Election<br />

3 Total Contributions Received<br />

Box C and Box D<br />

O 00<br />

4 My Total Campaign Expenses that were<br />

Subject to the SpendingLimit were<br />

o co 5 MyTotal Campaign Expenses<br />

that were not Subjectto the Spending<br />

5 79<br />

0 00<br />

Limit<br />

were 6 Total<strong>of</strong>All<br />

Campaign Expenses line 4<br />

-<br />

o<br />

7- J<br />

7 Election Campaign SurpluslDeficit from Current<br />

Election<br />

-<br />

jJ<br />

line 5- 8Portion<strong>of</strong> Campaign Surplus<br />

Returned to Candidate his<br />

or her Spouseor<br />

71<br />

Same-Sex Partner 9503P 2003/07 Page 1

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