HomeMy WebLinkAboutA004 - Receipt for Nomination Papers - Starlene Rankin RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERI(
AMES, IOWA
Delivered by: 1?,qNk1/A,1 Date & Time:
Received by: Title:
' 1
For election to be held on:
The following nomination papers have been accepted for filing:
PAPERS FILED
Fq0FFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
AT-!-�i�tG.. J T i�;� v 'rVf,'i�✓ ��'
Foan 2-M(Rev.99)[45.3)
Prescribed by the 1999
Iowa Secretary of State I
STATE OF IOWA C13Y Ci
clrr OFalv!�S,IcVra F
AFFIDAVIT OF CANDIDACY
School and City Elections
For the Office of 5 4 C i — La
(Include district number,if a )
❑ Check here if election is to fill a vacancy.
Date of Election:� ,l��L�
Name(exactly as you want it to appear on the ballot):
�S+k l 9-As-� k k n
Home Address: C-q(`r o I km
City and Zip Code: s 1 0 t 0
County:
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 of a felony or other infamous crime and my rights have not been restored by the governor or by the president of the
United States.
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.
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
choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file nomination papers,
cannot be a candidate for any office on the ballot at this election.
Signed:
Signed and sworn to(or affirmed)before me oni►•��i1h I �, ��g� (date)
i
by (print candidate's name). / ��oo
O'l
Signature of Notary Public(or o r office,authorized to witness a s)
This affidavit must be Official Title: 1� LlTV C!?V C�-�R�� t ) ,
filed with your !1G
nomination papers.
My commission expires: /� 17 2019
Form 59 —11 1.vaon S SONS co-.w.ru�.+ovw.,07bTd�iSG-�{RavJsad.�•a•490) -r
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(Chapter 45,code of Iowa) .l � ��.� f�4•`T_ �_' � ;
STATE OF IOWA
Sr - 11999 '
Nomination Petition �
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For Nonpartisan Nominations and Nonparty Political.�S__w�zations
C6 For the office of T II Imo ) i4l_4 I — �� �Y
I, the undersigned eligible elector of the State of Iowa, �5 �6 LL)C� dq hereby
(If zp ijo�� disvi other divitio ) A_Q%4
nominate ��� of D� r o � - -- Iowa,
(Nome of condidole) (Address)
as a candidate of for the
/� 1 ome of nonparty pqLiica orpani:oGon,if any)
office of AT— La- C C to be voted for
at an election to be held on
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signoture) STREET AND NUMBER, IF ANY CITY
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(OVER)
Form 59 wn rsec01I z soes co.w.nnop.Tpwp D35 P-559 ( .vlsad my 19 1
(Chopler 45,code of Iowa) it
STATE OF IOWA(Nomination Petition
For Nonpartisan Nominations and NonpartyNonparty Political
Organizations
For the office of &0��s C 1r� w V n oI ` V4 J ( Ci
I, the undersigned eligible elector of the State of Iowa, Ayyuz.5 r -i—n toc. , do hereby
f (If applicable,dw or other dinsao ) n � ^ C
nominate S�ck' Vl`2 �!'� of Tf(O� l A-,YQ Ai4lowa,
(Nome of condidote) _4 (Addreu)
as a candidate of for the
(Nome o onpooy poliGcoI orQonizPl ion,ff ony)
office of � �� r '_I to be voted for
at an election to be held on
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY Q (�
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(OVER)
Form 59 .n.n rwaaon t So"$co.w•n. D35 (Q•559 ev so u y
(GhapW 45,cods of Iowa) 71 '
_. .. _ _..
STATE OF IOWA
Nomination Petitiong �- F
For Nonpartisan Nominations and Nonparty Political Organizations
r
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For the office of C 1
I, the undersigned eligible elector of the State of Iowa, k ru5 ��WS do hereby
(� (If opplicoble, t ncl or olho ivit/i�n)
nominate s) "e fA� �r1. �
of Q'cry ``� u �-� Iowa,
(Nom•of condidole) (Addrn+)
as a candidate of for the
n (Nam•of nonpony polilicol organization,it any)
office of q `- �' � c' ! to be voted for
at an election to be held on I �-1 �� r I t , 19a.
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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(OVER)
Form 59 m 11 P-091 t sau CO,WAT?tpp,"Iow• D3V 0`559111 ReVls*JJ July
(Chapter 45,code of Iowa)
I
STATE OF IOWA
P,n
�. Nomination Petition _
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of A—Y-6 �-5 Cl (zyy�6 ) Ayv��
��✓ �Y `�Q
I, the undersigned eligible elector of the State of Iowa, 5 do hereby
(2 Q (If applicable,district or other divis�n.),�.p -,,,�p5
nominate (� 't"�� r of 8ao2 �r(�0 ' ` ` ' �- =_% Iowa,
(Nome of condidote) (Address)
as a candidate of for the
(Nome of non"'
politico)organization,i,any)
office of ftT' lO-�— C A-L (.Z�C to be voted for
n 3 '^n Fla.
at an election to be held on `��Tic r � � r g' 1 .
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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All.
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(OVER)
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Form 59 —11,.caon s sas co.wawtoo.aw. D35 0.559 (Revised July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
S .
!. 1G99 s°
Nomination Petitiona:dsOm�
t,
For Nonpartisan Nominations and Nonparty Political Ol ' -tforis
For the office of cz-�C- A S�L
I, the and rsigned eligible elector of the State of Iowa, S U) ct do hereby
Imo, If oppl,coble,district or other divm n)
nominate ` �A`e " n of�lr/�� �_4 Iowa,
(Name of condidote) (Address)
as a candidate of for the
(Name nonpa b political orgon ation,if ony)
office of 02( C 1 114— to be voted for
at an election to be held on 1 �1 r�, 19—D•
N A RESIDENCE (Add School District, if needed) DATE SIGNED
Si na re STREET AND NUMBER, IF ANY CITY
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(OVER)