Office of the City Clerk/ One City Hall Plaza/ Manchester, NH 03101/ P: 603-624-6455 F: 603-624-6481
A contribution shall mean a payment, gift, subscription, assessment, contract, payment for services, dues advance, forebearance
or a loan to a candidate, an incumbent official or political committee made for the purpose of influencing the nomination or election
of any candidate. Contributions shall include the use of anything of value but shall not include the services of volunteers
who receive no pay therefore or the use of personal resources by a candidate on his behalf. (City Charter - Section 5.29)
Report Period Ending: ______________________________________
Date Received Amount
PAGE # _______ OF __________
Full Name of Contributor
Campaign Contributions Disclosure Report for the City of Manchester
Address
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