HomeMy WebLinkAboutA011 - Affidavit of Candidacy - Sam Pritchard Form 2-M(Rev. 95)[45.3]
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
For the office of At-large City Council, Ames, Iowa
(Include district number,if any)
❑ Check here if election is to fill a vacancy.
Date of Election: 7 November 1995
Name (exactly as you want it to appear on the ballot):
Sam Pritchard
Home Address: 912 Kellogg Avenue
City and Zip Code: Ames, Iowa 50010
County: Story
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. I 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.]
I 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.]
Signed: I
Signed.and sworn tq (or affirmed) before me on ,1�(L c.I" c � . ctgl � (date) by
(print candidate's name).
Signature of Nota Public(other off4er onzed to witness oaths)
Official Title: t �
My commission expires:
Form 59 wn PARROTT s s S co,-[RIM 0— D35 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of
I, the undersigned eligible elector k,,the State of Iowa, do hereby
(If applicable, istrict or other division)
nominate S�►�.- _ PY`l-rC \ 9 /
(Name of candidate) of 7 -, C� 6�(I ddr ss) s , Iowa,
as a candidate of for the
(`Jame of no npany po;d,ca.orgonronon, if any)
office of. C.4!1 (o . .'%r , to be voted for
at an election to be held on-. 193T.
N A M E RESIDENCE (Add School District, if needed)
(Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED
Cot k
2 L1� Irk 20 ' ow ' e q y.
3S-
4C CA
r
I 8
10 % �&e-s--. V-tOr
13 �� �3 P�>.a � 1 y Z� lJ
14 101qVAv
15(�
17
18 2 f 5 /`j. '2 A:Q K L ,.�! tye.. h 1�1 G3 Y Z is '>Ir
19 c� ��2�G u a, o -
66
21 ��. �� W��L�_4ti.L.22
�f
t
23S�►C�
24
25
(OVER)
>�
Form 59
M T PARROTT t SobS Co WATFRl00,�avA D35 0-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations a ad Nonparty Political Organizations
For the office of 1( O L.� A/C
I, the undersigned eligible elector of the ate of Iowa, do hereby
�j? Y l — - �( )� C1 (If applicable,district or other division)
nominate (('�f _ 11" Il of q r2 J�`e ��0�4 o S(Nome of candidate) , Iowa,
A dress)
as a candidate of
Name of nonparty for the
( p y politico)organization, if any)
office of �y � Ca t� � , � to be voted for
r
at an election to be held on 7 ���o-✓�w� D-� 19
N A M E RESIDENCE (Add School District, if needed)
(Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED
2
3 is r f mei 4/tfJ�S-
4
5 Z
v
I s
9 1 r 32 Z—t i, e� 1�
1 23d2 nr S'f. l-/6 -
11 2 U cc) 3 olZcc 1 G �S
12 � , I3t q C Errol l �'' s 3 l6—cq�
13 0
14 -31, is,, .G
15
16
17
Z/ /Yls�ifit.. 7
18Uj
63/ / L2 9l 9S'
20
22 JA !3 D cv� ►N
. - -9h ir I k
23 d 00 b 4-&w Err Avc-
24
25 �
(OVER)
R
.40L"-
Form 59 r Att PARROTT s s S co.w.vnoo.how/. D9s 0-559 (Rovlsod July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of Cat 4 �-A+ ` L ✓Q -e—
I, the undersigned eligible elector of the State f Iowa, do hereby
-�— (If applicable,district orr/other division)
��A �r 1 l �Q V� of .� e(/ � she S Iowa,
nominate_ ss
' (Name of candidate) (Ad9r f )
as a candidate of for the
(Name of nonparty political organization,if any)
office of �__ �� ,. C-U to be voted for
at an election to be held on /VD %f-e M 19 f
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
as/Sd'/ e e Ames
2 SIS '% � /7 s--
5
5t5 9 �o4s
8 K) t u Cyr � �ss
9 b 9
,o t- Nw A . 2LL� �tV(U `s��
M. PtKulk
12
13 S. 3�a f'D l�rn. .w G✓� � `l Zv
14
15 .'
16• (/ `� ro PS
17
18
19
20 2 zA
21 � —
12 22 U mY 9
I ILL
3 e-A
2 a 42-a'!z M e h Sf-
25
(OVER)
Form 59 N.Vi PARROTT 6 SONS CO,wATMOO.iowA D35 O-559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations an/d,, Nonparty Political Organizations
For the office of ��� cou tzt
I, the undersigned elioible elector of the State f Iowa, (If do hereby
e �� (��I applicable,distriS�o.�otheO division)
nominate yQ of � / Z /` ti 7 `f�=— Iowa,
(Name of candidate) (Addre s/
as a candidate of for the
(Name of nonparty political organization, if any)
office of G+ - �� + to be voted for
—
IF
at an election to be held on 7a tlt►M 19�.
N A M E RESIDENCE (Add School District, if needed)
(Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED
2 i
3
4
5
li
'
8 ' Q�/Z c
9 Q . 30 7
10 S 11A 2a
11 7ZL
12
13
14 O
15
17 / a /Q v�u
18 / . 7e
19
C
20 �! " I �� -.e
21 13 � � — , ,s -s
22
23 �y y � C ~y rVl c
I
24
25 �b J v- L-L 2 �
(OVER)