Hughena Burke - City of St. Albert

08/31/2015 7:39 AM FAX 7804607964
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PAULS HOLDINGS
10002/0002
Cultivate Life
BY-ELECTION 2015
SELF-FUNDED CAMPAIGN VOLUNTARY STATEMEN
Local Jurisdiction:
City of St. Albert, Province of Alberta for June 2^, 2015 By-election
Full Name of Candidate:
Candidate for Election as: (circle one)
E,U"Z/\(^Q H
Mayor
Councillor
This is to confirm that I have funded my cai|npaign completely from my own personal
resources to an amount that did not exceec $10,000 and have not accepted
contributions from any other person or enti ty. Therefore, pursuant to section 147.11 of
the Local Authorities Election Act; R.S.A. 2(100,1 am not filing a disclosure or financial
statement.
Signatu&tof Candidate
Chun
>UOr 31 /Ifift
Date ofSEinature
The personal information that i9 being collected under the authority of the Local Authorities Election Act will be used for the purposes under
(hat Act, It «s protected by the privacy provisions of the Fmedom of I iformation and Protection of Privacy Act. If you have any questions
about the collection, contact the City's FOIP Coordinator at 780-459-1500.