HomeMy WebLinkAboutDOI - AL TREVILLYAN - 9/25/2009 - DECLARATION OF INTENTIONd
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RECEIVED
SEC Form 001 Kev 1/2/U8
c` State Ethics Commission
DECLARATION OF INTENTION TO ACCEPT CAMPAIGN
CONTRIBUTICMS
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Today's Date: 5�/' / j5;wtj3 offre
Candidate
l � 15VI(Full /1J
Name):
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2Address:
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City, State, Zip:
Telephone Number (Optional): 7749.- 461a 1 I t q`3 and/or
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Name of Office Sought (include district, post or judicial circuit, if applicable)
Party Affiliation (Optional):
State:
❑ Democrat
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ElRepublican
County:
Non Partisan
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Municipal: Cr. 11/ CZU AleZL—
Other
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Incumbent Name:
Election Year:
Complete additional information below ONLY if you have a campaign committee.
This information does not register a campaign committe. (Please use Form RC to do so.)
Campaign Committee moi'
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Chairperson (Full Name): ` e`
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Address:
City, State, Zip:
Treasurer
Fullull Name): :
6
Address :
City, State, Zip:
I CERTIFY THAT THIS STATEMENT IS COMPLETE, TRUE, AND ACCURATE.
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Signature of C didate
Date
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