HomeMy WebLinkAboutA010 - Affidavit of Candidacy - Herman Quirmbach Form 2-M(Rev. 95)[45.3]
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
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For the office of �J!"60
Ot '7'� M�w "c r -r d ��
(Include district number, if any)
F-1 Check here if election is to fill a vacancy.
Date of Election: 1/ P;-
Name (exactly as ou want it to appear on the ballot :
Home Address: / 'o 6
C1,
fir.
City and Zip Code: n1-f S L P S-6 0
County:
I swear or affirm that the information I have provided above is correct. I am a candidate for the office indicated
above and request that my name be printed on the official ballot for this election. I am eligible to hold the office for which
I am a candidate; if I am elected I will qualify by taking the oath of office. 1 know that I cannot hold a public office if I have
been convicted (and never pardoned) of a felony or other infamous crime.
I know that I am required to organize a candidate's committee which shall file an organization statement and
disclosure reports if my committee or I receive contributions, make expenditures, or incur indebtedness in excess of five
hundred dollars ($500) in a calendar year for the purpose of supporting my candidacy for public office. [This paragraph
does not apply to candidates for federal offices.]
know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination
papers for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for
which office I choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file
nomination papers, I cannot be a candidate for any office on the ballot at this election. [This does not apply to county
agricultural extension council, soil and water conservation district commissioner, or regional library trustees.]
Z `
Signed:
Signed and sworn to (or affirmed) before me on �<< eL�rti c2C r�c�1 (date) by
N e-ma(\ n ul t--t-n l'dzc h (print candid name).
--76, )�a �-\
Signature of Notary Public or othe o ice authorized to witness oaths)
Sf„ ;;; � Official Title: ( �i�t 66,PkE . 4- 2iw
My commission expires:
Form 59 PAArt PARROTT 6 SONS CO.,WAIFRLW,IOWA 035 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan� Nominations and Nonparty Political Orga izations
For the office of // O_ ✓ C( coo k �'C 1 l e t'�f A�r
IA �c )
I, the undersigned eligib e ele for of the State of Iowa, << G do hereby
(If applicable,district or other di ;ion)
nominate E ►� (�( F/ �� C G of/043 ire ' Iowa,
(N me of candidate) (Address)
as a candidate of for the
/,/) Clw (Na of o party politlj'��organizotion, if any)
office of v'' a' f/' l r 0(eLt nc °�vv�t�`� — `� to be voted for
at an election to be held on �' 19
S�
N A M E RESIDENCE (Add School District, if needed)
a re DATE SIGNED
(Sign ) STREEETT AAND NUMBER, IIFF'ANY CITY y�
eL
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10
12
13
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(OVER)
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Form 59 NkAr,PARROTT A SONS CO,WATERLOO.IOWA D35 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Or tions
For the office of 111' 1()0' C
r4 ` `4L ( QQ x c( �2 a
I, the undersigned eligible elecUf
the State of Iowa, ��� �"��`` do hereby
` (If opplicoble,district or other di izian)
nominateH vA l LN Q �� of/��p� 'J4►'-re F C f y- Iowa,
(Name o candidote) (Address)
as a candidate of for the
(Name of non t political or anization, if any)
office of (/ /Vl//I E O U Ca(� to be voted for
�f Q r
at an election to be held on �`Q ��a 19 /� .
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
2 N41
ct
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vv
5 Cow Atli yf�
7 9 �"
f Q 9 �9 9s-
10 &L. Fj 6 �tiTstti
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(OVER)