HomeMy WebLinkAboutA006 - Affidavit of Candidacy - Patricia Brown C
Form 2-M(Rev.95)[45.31
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
,
�iftY)'
For the office Of r (Include di trict numb
❑ Check here if election is to fill a vacancy.
Date of Election:
Name (exactly as you want it to appear on the ballot):
Home Address: 12
y
City and Zip Code:
� F , f• .s c� o �
County:
that the information I have provided above is correct.
I aam eligible to hold the office for candidate for the office indicated
wh which
I swear or affirm ttheoffice [f I have
above and request that my name be printed on the official ballot for this election.
I am a candidate; if I am elected I will quality by taking the oath of office. I know that I cannot hold a public
been convicted (and never pardoned) of a felony or other infamous crime or incur indebtedness in excess t five
I know tha
t I am required to organize a candidate's committee hshall file an organization statement andh
supporting m candidacy for public office. (This paragraph
disclosure reports if my committee or I receive contributions, make expenditures,
hundred dollars ($500) nacalendar for federal offices.]the
purpose of suppo g filled at this election. If I gave filed nomination
does not apply to candidates
I know that I cannot be a candidate for more than one office to be nomination papers an affidavit indicating for
y candidates can file
papers for more than one office I must file with the officer who accepted
my his does not apply to county
which office I choose to be a candidate. I understand officeton it tt a ballot Iat this election• the last day
nomination papers, I cannot be a can for any
agricultural extension council, soil and water conservation district commissioner, or regional library trustees.]
9'
Signed:
ate) by
Signed and sworn to (or affirmed) before me(print
nt candidate's name). i
U
( r other�offi r uthonzed to witness oaths)
Signature of No public
official Title:
_ r My commission expires:
► .NAII PARROtt 8 SONS CO_wA1F1100.I-A D35 0-559 (Revised July 1990)
Form 59
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of
do hereby
I, the undersigned eligible elector of the State of Iowa, (If applicable,district or other chvision) {
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/ i (Ad Tess)
/ Iowa,
nominate /
t �� (Name of condldold) �/ G�y�—af
_as a candidate of (Name of non,� parly.foliticol orgo�tlon,if any) for the
161,! Ja . to be voted for
office of74
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at an election to be held on Tl/d'C1 a,; �4 19
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 MAIr YARROrr A SONS CO.WATIEKOO.IOWA D35 0-559 (Revised July 1990)
(Chapiur 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 of the State of Iowa, ./'7��"�; do hereby
` (if applicably,district or ocher division) �^� �"
nominate ����t c — of 1 S' /.a't ' Iowa,
_T (Name of condid te) r (Address)
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as a candidate of for the
FI /��'_.,_. ` pi of nonparty p li o �o rgor l—z o If nY) t/�._ ` !
office of b voted for
) � '� �1
at an election to be held on /"��� 19
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 NdR PARROTT 6 SONS CO,w ERtoO,$OWA D35 O-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 -���is�1j" �__
I, the undersigned eligible ele(;tpr of the Stgte of Iowa, do hereby
J (If applicable,district or�other division)l
nominate �� °- of ,_: 1 � � ll�i`" t
�1 owa,
✓ Ira me of candidate) (Address)
as a candidate of for the
L (Name of nonpor, Solificol orpnization,if any)
office of .( � �a t �p l 4b ; ��; A ;i'��, �fi 'be voted for
at an election to be held oni/ 19_L.�
N A M E RESIDENCE (Add School District, if needed)
(Signature) DATE SIGNED
J STREET AND NUMBER, IF ANY CITY C/ C�
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