HomeMy WebLinkAboutDOI - JOE LOCKWOOD - 4/6/2009 - DECLARATION OF INTENTIONSEC Form DOI Rev 7,12/08
State Ethics Commission
Viz. DECLARATION OF INTENTION TO ACCEPT CAMPAIGN CONTRIBUTtMS— 6 2009
/e7b Form DOI
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CITY OF MILTON
1
Today's Date:
1
Candidate
(Full Name): J e) le nJ1 ✓O Ddf
Address:
2
ON -k` -2, ®y 4
City, State, Zip: " U2 ^
Telephone Number (Optional):] "u(:2 _ \'� and/or
Name of Office Sought (include district, post or judicial circuit, if applicable)
Party Affiliation (Optional):
State:
❑ Democrat
3
❑ Republican
County:
�on
Municipal:
❑ Other
4
Incumbent Name: (/ z _
Election Year: 1,c�
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
Chairperson (Full Name):
5
Address:
City, State, Zip:
Treasurer
(Full Name):
6
Address :
City, State, Zip:
I CERTIFY THAT THIS STATEMENT IS COMPLETE, TRUE, AND ACCURATE.
Signa Candidate Date
MAIL TO: THE APPROPRIATE FILING OFFICER