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2006 Financial Statements - City of Pickering

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deunitnoC310IegaP701302P3059<br />

-FORM<br />

4 FINANCIAL<br />

STATEMENT MUNICIPAL ELECTIONS<br />

ACT 1996 SECTION<br />

78<br />

INSTRUCTIONS To be filed ifthecontributions received byacandidate donot exceed 10 000 and expenses<br />

incurred bythe candidate do not exceed SIO<br />

OOO Any surplus greater than 500 after any refund to the candidate his or her 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 council has passed an enabling by-law For<br />

the campaign period from day candidate tr to nominated fll/ BOX<br />

A NAME OF CANDIDATEAND OFFICE fo sa Q l 07 Name<br />

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

J Mailing<br />

Address -<br />

f<br />

L/ f-TOIUT<br />

Home<br />

Phone NoC<br />

J -CI Ci 2-L<br />

J<br />

--<br />

-Y 6 C<br />

r /-<br />

I--f<br />

--L7 / -BOXB SUMMARY<br />

OF CAMPAIGN INCOME AND EXPENSES I My Spending Limit was / /U J-c 1<br />

Ii<br />

q 5 1 SO2<br />

Surplus<br />

or Deficit<br />

from<br />

Previous Electionr<br />

r-3 Total Contributions Received<br />

Box<br />

to<br />

C and BoxD 4 My<br />

Total Campaign Expenses that were Subject<br />

to the<br />

the Spending Limitwere 5 My<br />

Spending Limit<br />

Total Campaign Expenses that were not Subject<br />

2rfPtv 006<br />

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

All Campaign<br />

were<br />

00<br />

f DC ---e J I<br />

C<br />

i<br />

Expenses<br />

line 4line57 Election<br />

Campaign<br />

Surplus/Deficit<br />

from Current Election8 Portion <strong>of</strong> Campaign<br />

Surplus Returned to Candidate his or her Spouse<br />

or Same-Sex Partner -/

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