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HomeMy WebLinkAboutA004 - Affidavit of Candidacy - Emil Peterson r 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 / �q i �.'e��P /'�'I �r �a l �E'>h ✓ 1,%CJ V'C' C�'� I r At ,pp f (Include district number,if any) FICheck here if election is to fill a vacancy. Date of Election: Name (exactly as you want it to appear on the ballot): Home Address: 27 S © y u I(Py U' Ft✓ xo(f City and Zip Code: Aw1ES SO D I Y - V o 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. 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.] l 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 l must file with the officer who accepted my nomination papers an affidavit indicating for which office /choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file nomination papers, l 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: Signed and sworn to (or affirmed) before me on � f 5 �� 7 (date) by 67�� 1 � +� ''I (print candidate's name). �> Signature of Notary Public(or o her officg authorized to witness oaths) Official Title: My commission expires: ODd Form 59 ,1 M„ . ., ,„ wnw,,. ,,,w� lns o5jiv (Rovlsod July 1990) 0 pku 65,'Oda at Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of l � ` %K1 a__ _ � I rU I, the undersigned eli Ible elector of the State of lowa,Nt . C� NNW& do hereby M (It applicable,disviu or other division) ` nominate Elm-, � ��f� of -.2 730 �1 `12�4 Vie- � �U � Iowa, (Name of candidoie) (Address as a candidate of —._ __ for the --�"iy palih,tr. -��r,np;tior if m vl office of MC1.Pca x"'A"x � -CrvS�ee_s to be voted for at an election to be held on NL\Le_ V_r y —, 19-. N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) rr h STREET AND NUMBER, IF ANY CITY `- 1 Q( d �rJtuwuu� all, 2 C �/� Cry Pjv �' 9 7 / 8 a7i Albr�A,-i 7i3 A 7 4'r, �i`•� s�v e. Awte S �t f! A?7 12 �Alllll I-*- 14 15x CGi 12Po 17 1A, X,- /lw",/ 7mvf­ 21(3 1 0 46 16 i 19 f G ,/✓ �. © (/tit,✓ �7 / 20 21 /"12) Gl'eia J{ / Ic 23 1/';zs> l ,s 24 %�, A6 / H- 1 ✓/ (OVER) OC C3 c l 0 a I w CTI 7 I ° �J ° 0 0 d. �� U a V a O " u V V O t- p ° O o � --� o Q cz a Z j a �' E C� y> E � s -a O W J a� LL J L Form 59 D35 0.559 (Revised July 1990) (Chopier 45,code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the office of I, the undergned eli 'ble el for f the State of Iowa, A( do-here (If op licoble,distnc r r divisio ) nominate �� r Q !SID� of � QU 4I�owwaoill, (Nome of candidoie) (Ad ess) as a candidate of QJ+�� for the •ee/e 1/Yl�of non ari `90 Yan. i{an s /_ __ office of � l � � (��r.7 to be voted for at an election to be held on 6 keM4 Woe- 19" N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 2 ' Yu t c�' c! t 1 L C 1 1.l t /J� A 3 �/ '� 5 .tS�N �� ,tee s R- 4 ��C`u (.l�SjL1� Iry uawaloe � 9 1 5 U 1,A 10 n r 11 -1 �c L{Z L( � � Cfity Ay o S g1ty !9/)- 12 `_'`L4 e '<Cori th Ave /QU ' 13 14 , ®p 16 L, 7 18 �Sz cam. Avyl o 19 {/r.6 it�' _ f1 t-1 hW��n 7 c>' C ►�s q- l y-�J 21 " /-5 rneCdJ ` 5 V 1-977 r _ 23 1 ✓l 24 , -� Sf 25 (OVER) 16, T 4e Ilk N `' W U-�1 G" o O G. o `m z 0 U Q v N )) N E - + S os o 0 -0 Ol f z �-o U J ':�J- o Form 59 Mnu •nwint K xws co wAltrtoo. ~ D35 0-559 (Revised July 1990) (Chapter 45.code of Iowa) STATE OF IOWA Nomination Petition For Nonpartisan Nomination and Nonparty Political Organiz do s G/eekqI CetAe � o rfl u QfFor the office of I, the undersigned eligibl elec r of the State of Iowa, e C`� rnti S do hereby (II upplicobla,d nicl or other divivon Q,,� nominate [.� � �So of 273fl I104 ,e" Ilk Iowa, (Nome of condidme) (Addre ) as a candidate of "�� /1y,� __ for the J .� (No,- cvc.. I office of q� /�`p _ Qal�+cQ� u x a -- to be voted for at an election to be held on /vvdeM "'" N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 3 G 17Z b r v •rt i+�Z � 9-IU - J 6 7 2Z 0/-L Ui e--o C lq-14)—91� i 8 �7/ v CXk" l 10 11 29 Z6 P-w- 5•, fZD g - 1 Z 13 v � 14 � � 2 15 l /7 " q 9 16 17 19 4oZi 21 zo i �M 9 22 23 '�K�l 4 C 24 '" 75/ �1 r5 �V 13 0 ?5 LI 7 (OVER) r Vok w 1. ° 0 0 u o o, v CL 0 0 p u p E Z Z % E � I Form 59 �t M v�,rvrw D35 0.559 (Revised July 1990) (Chopin,45,code of town) STATE OF IOWA Nomination Petition For Nonpartisan Nominations and Nonpart Political Organizations kc For the office of �' ``G + 1 �__"� I, the un sigh eligibl elector f t State of Iowa, do here , (if applimb e,dlsl�r ((tor of a,oiler division H o f 2 lJu p /Qu nominate (Name M condidoie) (A ress) as a candidate y of /'� ACLI — _ �//\��.M�./� ___ or the /v�u I t.�� , (Prcc::'/qnp ,iy vcu�yu�i`ci '�I 46 Ti/{./��/�-� office of y � �u lJ�r�Y-� to be voted for at an election to be held on wWi'A__, 19 r7 N A M E RESIDENCE (Add School District, if needed) DATE SIGNED (Signature) STREET AND NUMBER, IF ANY CITY 17 2 UV a 5 C' 6 r �' I i , ova p 57 9 1730 ✓�' � �� - 9 ` 10 ( 11 9"A,-2 �7 12 yeol -� 13 27l ie 7 ol 15 16 o 17 18 6 C_ Aw-4cm &5;�_ 19 20 ' �/-------------- 5�S- R � c s1n q 3 21 22 S 25 (OVER) r� d, Ilk p p 3 w j s s o Z °Z ° u p " 0