HomeMy WebLinkAboutCamp Hill Democrats - 2019 Annual Report in . uzzi=sisulagassaikzazi,----
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
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1, Camp Hill ; PA ,-, 17011
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Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete.
I Sworn to and subscribed before me this n (ter / �����/7
(1l I day of L1 1,� 20 otq O (ati44/.i(f9 /G` % (.."
UM 1 Signature of Person Sub i ng ee ort
i ature Printed Name•
yMy Commission expires Q ' ' ) '24 7/ 7 /a r 9 '/O
MO. DAY YR. Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended.
Sworn to and subscribed before me this . .
® -
-___--day of- 20
NM Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
Commonweal h of Pennsylvania-Notary
Micah D.Herr,Notary Public ,
Cumberland County . .
My commission expires November 14,2023
Commission number 1357173