HomeMy WebLinkAboutA006 - Receipt for Nomination Papers - Herman Quirmbach RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERIC
AMES, IOWA
Delivered by: 4eY'rY)0j-\ Q► LL Y 01 La(-j1 Date &Time: y3 q 60 I 3 j A
Received by: �Q.t V—' DOSS Title:qq
For election to be held on:
The following nomination papers have been accepted for filing:
i
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
OF T
W
Form 2-M(Rev.99)[45.3] Sr" 13 I
Prescribed by the
Iowa Secretary of State (� If 3 AAA
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OF AktES•i01',fA
STATE OF IOWA CP
AFFIDAVIT OF CANDIDACY
School and City Elections
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For the Office of ( �8 cC Gt C 42
(Include district number,if y)
❑ Check here if election is to fill a vacancy.
Date of Election: 02-
Name (exactly as you want it to appear on the ballot):
V—P WJ Q. C_
Home Address: G C � r-1',0— -&'&
City and Zip Code: ► Y -� S� D / `�
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.
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.
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 on I "���ff- (date)
yer-A Q K C rt c r`+c�Qt�1
by (print candidate's name).
,iawt�s R .W"-Al
Signature of Notary Pclbli r other ice.ayt��d trw es 1 oatflse�'�
This affidavit must be Official Title: N( �w (t l l / (�J (it
filed with your
nomination papers. My commission expires:
.7 .Sb EXMiff
Form 59 . ..coon s sons co. 7w.� D35 0-559 revise u y
(Chapter 45,code of Iowa) t
STATE OF IOWA ' ! 17, `
13 1999 4
f 13-7e Pr
Nomination Petition -�
Cl 'in C
i'( F:�'1=5, iob-A
For Nonparr]tisan Nomninations and Nonparty Political Organizations
For the office/�✓ TI VV��J l �C9 r'�C
I, the undersigned eligible elector of the State of lowa,C1 4-V d'4hU , ` Oj Q do hereby
I (If opplicoble,district or other division)
nominate TTeY—WI-Q.bt l.l.l � �O�LGv� of /De��arr¢ ciY Iowa,
(Nome of candidate) (Address)
as a candidate of for the
(Nome of nonporty political orgonizal,iyy(('', if any) n
office of f✓ D n Cl~ / rJr�-P.d O2V- to be voted for
at an election to be held on 19 `
N A M E RESIDENCE (Add School District, if needed)
(Signature) STREET AND NUMBER, IF ANY CITY DATE SIGNED
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(OVER)