Paul J. KendziorAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE
MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME
1 Filer ID #
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NICKNAME LAST SUFFIX Date Received
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ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE
3 CANDIDATE
MAILING
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ADDRESS
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e2. Date Hand -delivered or Postmarked
AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
4 CANDIDATE
PHONE
ZI v/ S O V- 9690 Date Processed
Date Imaged
5 OFFICE
HELD
(if any)
6 OFFICE
SOUGHT`f
(if known)
J L `Z-
7 CAMPAIGN
MSIMRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
8 CAMPAIGN
STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
J !
STREET
ADDRESS
�L�eC1 Lf Tx -79 IOe
(J
(residence or business)
J
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(J 1 Z) 'S5707
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of t Election Code on contributions
from torpor - n .la labor o
�C�Z?
S' ture of Candi a Da a Signed
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