HomeMy WebLinkAboutA005 - Affidavit of Candidacy - Judith Clem Form 2-M (Rev.95)[45.31
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City/ Elections
For the office of rnxtrm G Y`cr-ItncklLa,1 Cd �
(include district number,if any) r
® Check here if election is to fill a vacancy.
Date of Election: I 1
Name (exactly as you want it to appear on the ballot):
�vkdi A--\,N A • C.levv%
Home Address: 2 3 o 7 TIt"t,r VrA IRD&A
City and Zip Code: ` -Vh es -r A S O O 1 y
County: &6y- W --
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: Cl
Signed and sworn to (or affirmed) before me on I I S (date) by
—�,`A) A C`IF (print candidate's name).
�......••.�� Signature of Nota�Public( other officer horized to witness oaths)
Official Title: ��� �� (�m�S
f.,
My commission expires:
Form 59 EAAii PARROTT l SONS CO.,WAfERl00.IOWA 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
t
I, the undssi 1�c} a Iglble elector of the State of Iowa, �-�����- do hereby
c� 1►� C— e 01 (If applicable,district or other division)
nominate G of 23 o 7 - ��-•^-i< - ., G k`�, , Iowa,
(Name of candidate) (Address)
OS a candivCite of the i
(Name of nonparty political organization, if any)
office of ��Ln' �'` ° �^��— `� "' �- d x "f to be voted for
at an election to be held onrtrc 7 , 19 9�
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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Form 59
..eworr c so.n co.w '.00,-- D35 0-559 (Revised July 199o)
_ (Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
9 ns
For the office of C
I, the underJJ 97,d eli able elector of the State of Iowa,
kttL�.. cl e�, `
nominate ��,, (;1 (� of opplicoble,district or other division) do hereby
�e ,..,,�(�
(Nome of condidote) of Q 3 7 J ��
as a candidate of fAddress) Iowa,
ray(UiTiCe of t,� (Name of nonporty politico)orgonizolion, if any) for the
�!-p�� l ��� —}-
at an election to be held on to be voted for
N A M E RESIDENCE (Add School District, if needed)
(Signature)
STREET AND NUMBER, IF ANY CITY DATE SIGNED
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(OVER)
Form 59
`-TT v.eaorr t sons co.,w.reaoo,iow. D35 0-559 (Revised July 199o)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of
e�
I, the and i need eligjble e��tor of the State of Iowa,
d 1�} Q� (If op/Y Pic e,district or other division) do hereby
nominate
of )-3c) ,t�
(Name of candidate) ,�.yy�.,.�� ��11.Q /p
as a candidate of (Address) n Iowa,
"�/� _ (Name of�nonporty poll lical orgonizotion, if onyj _fQr the
office of ro��, ,`P(/r- �¢1 ---
L � � to be voted for
at an election to be held on
f 19c1S,.
(Signature) RESIDENCE (Add School District, if needed)
STREET AND NUMBER, IF ANY
CITY DATE SIGNED
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(OVER)
Form 59
r+an vneeorr t SONS co.,wn Rlaa,Iowa D35 0-559 (Revised July 1990)
(Chapter 45,coda of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of ,, g..
0
I, the undersigned eligible elector of the State of Iowa, all,
1 1 1, 1 (If applicabte,district or other division) do hereby
nominate_ JWa; ttM Z307 �7' `` `
(Name of candidate) of 1,��^^SCV}G�a �Qj. A. G7 Iowa,
(Address) '
S GS ,. CandltUuia pf Ir
I Name office of of nocpo.,y poL cal zcrion i? _fOr the
`� � � � ��� any')
� to be voted for
at an election to be held on 1 19 �S
N A M E RESIDENCE (Add School District, if needed)
(Signature)
STREET AND NUMBER, IF ANY CITY DATE SIGNED
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(OVER)